Biliary complications following orthotopic liver transplantation

摘要: The gall-bladder conduit anastomosis (choledocho-cholecysto-choledochostomy) has been the most frequently used technique for biliary tract in Cambridge/King's College Hospital joint liver transplantation programme since 1976. Cholangiograms and interventional procedures performed over a 3 year period were reviewed retrospectively. Seventy-six of 148 patients managed post-operatively at King's studied (79 transplants). abnormal 63 (80%) transplants with strictures; inspissated bile formation, leak T-tube malposition occurring 50, 23, 14 three respectively. Anastomotic strictures occurred frequently, predominantly proximal anastomosis, presence relation to these contributed towards subsequent obstruction. Non-anastomotic donor associated high position tip or above hilum. Saline irrigation ducts its removal via endoscope effective measures management obstruction but percutaneous balloon dilatation endoscopic stent insertion found have limited role.