Experience in diagnosis and treatment of donor bile leakage after living donor liver transplantation
10.3969/j.issn.1674-7445.2016.04.011
- VernacularTitle:活体肝移植术后供体胆漏的诊治体会
- Author:
Canming LI
1
;
Zhijun ZHU
;
Liying SUN
;
Lin WEI
;
Wei QU
;
Zhigui ZENG
;
Ying LIU
Author Information
1. 300070,天津医科大学研究生院
- Keywords:
Living donor liver transplantation;
Bile leakage;
Bilirubin;
Puncture drainage
- From:
Organ Transplantation
2016;7(4):301-304
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience in diagnosis and treatment of donor bile leakage after living donor liver transplantation. Methods Clinical data of 95 donors underwent living donor liver transplantation were retrospectively analyzed.Postoperative complications of bile leakage were observed,and clinical performance,treatment methods and therapeutic effects were analyzed. Results Bile leakage occurred in 9 donors of 95 donors with liver transplantation,and the incidence was 9%.The location of donor liver was left lateral lobe in 9 cases with bile leakage,all of which were delayed bile leakage of liver section.The clinical performance showed no typical bile peritonitis with increased serum bilirubin.All patients were cured after treatment of percutaneous puncture drainage or drainage tube retention,and there were no cases underwent second operation and death cases. Conclusions Changes in donor liver function and hepatic artery hemodynamics shall be monitored after living donor liver transplantation,and the donors with bile leakage shall be treated actively and will achieve favorable prognosis.
