T-tube Related Complication in Overseas Liver Transplantation Recipients.
- Author:
Man Ki JU
1
;
Gi Hong CHOI
;
Hyung Jun AHN
;
Hye Kyung CHANG
;
Myoung Soo KIM
;
Jin Sub CHOI
;
Soon Il KIM
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. ysms91@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Biliary complication;
T-tube;
Liver transplantation
- MeSH:
Bile;
China;
Constriction, Pathologic;
Decompression;
Diagnosis;
Laparotomy;
Liver Transplantation*;
Liver*
- From:The Journal of the Korean Society for Transplantation
2006;20(2):277-281
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Biliary decompression by T-tube in liver transplantation can reduce the stenosis of biliary anastomosis site, but increase the biliary leakage. Therefore, policy of T-tube insertion is different in each transplantation center. Recently the overseas liver transplantations, especially from China, are increasing, and most of these recipients are transferred with T-tube insertion status. Due to limited operative information, T-tube related complications are frequently occurred. We report four cases of T-tube related biliary complication according to the diagnosis timing after T-tube removal, who underwent liver transplantation in China. The symptoms and treatment was variable from conservative management to open laparotomy. The 3 of 4 cases was the bile leakage after T-tube removal. In early diagnosed case after T-tube removal, the bile leakage was easily controlled by non invasive procedures. If the diagnosis was delayed, not only invasive procedures but also open laparotomy was required for control of bile leakage.
