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Zhonghua Wai Ke Za Zhi. 2003 Jan;41(1):3-5.

[Prevention, diagnosis and treatment of biliary complications after liver transplantation].

[Article in Chinese]

Author information

  • 1Department of Transplantation Surgery, First Affiliated Hospital, Zhongshan University, Guangzhou 510080, China.

Abstract

OBJECTIVE:

To study the prevention, diagnosis and treatment of biliary complications after liver transplantation.

METHODS:

One hundred and twenty-three recipients who had received liver transplantation between April 1993 and November 2001 were retrospectively reviewed.

RESULTS:

Biliary complication was diagnosed by cholangiography in 11 patients. Nine patients were cured, 1 patient was improved and 1 patient died. The incidence for biliary complications was 8.9% (11/123), and the mortality was 0.8% (1/123). The incidence of biliary complications due to T tube was 4.2% (5/119). The incidence of biliary complications due to hepatic artery was 1.6% (2/123). In recipients with WIT > 3 min and CIT > 8 h, the incidence of biliary complications elevated significantly.

CONCLUSIONS:

The most important reason for biliary complications was preservative and ischemic injury. While repairing donor liver, damage to the blood supply system of donor liver bile ducts should be avoided. Meticulous T tube placement may reduce the incidence of biliary complications. Early cholangiography is helpful to diagnose biliary complications.

PMID:
12760746
[PubMed - indexed for MEDLINE]
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