Aytekin Cüneyt, Boyvat Fatih, Harman Ali, Ozyer Umut, Sevmiş Sinasi, Haberal Mehmet
Department of Radiology, Başkent University School of Medicine, Ankara, Turkey.
Diagn Interv Radiol. 2007 Jun;13(2):101-4.
To review our experience with percutaneous internal-external biliary drainage in treating biliary anastomotic leaks following orthotopic liver transplantation.
Between September 1997 and June 2006, 157 liver transplantations were performed in our hospital. Percutaneous transhepatic biliary drainage was performed in 10 patients (9 males, 1 female; mean age, 32.9 years; age range, 2-62 years) with patent hepatic arterial systems to treat clinically significant anastomotic bile leaks.
Bile leaks were resolved and anastomotic patency was restored in all patients. Massive hemobilia occurred in 1 patient due to arterial pseudoaneurysm and was treated with embolization. No major complications were seen in the other patients. During a mean follow-up of 19.5 months, anastomotic stricture occurred in 2 patients (1 in combination with a recurrent leak). Both patients were successfully treated with percutaneous methods. The remaining 8 patients had no biliary problems.
When treating anastomotic bile leaks in liver transplant patients, percutaneous procedures may be performed with high technical success and low complication rates.
回顾我们在经皮内外胆管引流治疗原位肝移植术后胆肠吻合口漏方面的经验。
1997年9月至2006年6月，我院共进行了157例肝移植手术。对10例肝动脉系统通畅的患者（9例男性，1例女性；平均年龄32.9岁；年龄范围2 - 62岁）实施了经皮经肝胆管引流，以治疗具有临床意义的吻合口胆漏。
所有患者的胆漏均得到解决，吻合口恢复通畅。1例患者因动脉假性动脉瘤发生大量胆道出血，经栓塞治疗。其他患者未出现重大并发症。平均随访19.5个月期间，2例患者发生吻合口狭窄（1例合并复发性胆漏）。2例患者均经皮治疗成功。其余8例患者无胆道问题。
治疗肝移植患者的吻合口胆漏时，经皮操作技术成功率高，并发症发生率低。
Zotero 插件