Division of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Shulan International Medical College, Hangzhou, Zhejiang, P.R. China.
Medicine (Baltimore). 2024 Oct 25;103(43):e40191. doi: 10.1097/MD.0000000000040191.
Endoscopic retrograde cholangiopancreatography (ERCP) is the preferred treatment for duct-to-duct anastomotic bile leakage (D-D aBL) after liver transplantation (LT). This study aimed to compare the time required for ERCP and D-D aBL recovery in post-LT patients with and without T-tube drainage. A total of 40 patients (11 with T-tube drainage and 29 without T-tube drainage) with confirmed D-D aBLs treated successfully with ERCP from July 2016 to September 2021 were reviewed. The mean interval from LT to initial ERCP was significantly longer in patients with T-tube drainage than in those without T-tube drainage (41.9 vs 25.1 days, P < .05). However, there was no significant difference in the time required for ERCP to result in D-D aBL healing between patients with T-tube drainage and those without T-tubes (33.4 vs 23.0 days). T-tube indwelling did not significantly prolong the course required for ERCP to resolve D-D aBL in post-LT patients.
经内镜逆行胰胆管造影术（ERCP）是肝移植（LT）后胆管对胆管吻合口胆漏（D-D aBL）的首选治疗方法。本研究旨在比较 LT 后有和无 T 管引流的患者行 ERCP 治疗和 D-D aBL 恢复所需的时间。回顾性分析 2016 年 7 月至 2021 年 9 月期间 40 例经 ERCP 成功治疗的确诊 D-D aBL 患者（11 例有 T 管引流，29 例无 T 管引流）。有 T 管引流的患者从 LT 到首次 ERCP 的平均间隔时间明显长于无 T 管引流的患者（41.9 天 vs 25.1 天，P<0.05）。然而，有 T 管引流和无 T 管引流的患者行 ERCP 治愈 D-D aBL 所需的时间无显著差异（33.4 天 vs 23.0 天）。T 管留置并没有显著延长 LT 后患者行 ERCP 治疗 D-D aBL 所需的时间。
