Gu Yang-Jun, Chen Zhi-Tao, Li Qi-Yong
Department of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou 310000, Zhejiang Province, China.
World J Gastrointest Surg. 2025 May 27;17(5):104191. doi: 10.4240/wjgs.v17.i5.104191.
Both stent placement and endoscopic nasobiliary drainage (ENBD) are commonly used for treating bile leakage following liver transplantation. However, little research has compared the advantages of both methods.
To compare the prognosis of stent placement and ENBD in treating bile leakage following liver transplantation.
We retrospectively collected data for patients with bile leakage after liver transplantation in our center. The efficiency and prognosis were compared between the stent placement and ENBD groups.
We retrospectively collected data from 50 patients diagnosed with bile leakage within 1 month after liver transplantation. Forty patients underwent ENBD and nine received stent placement. Baseline patient characteristics, except white blood cell count, total bilirubin and direct bilirubin levels, were comparable between the two groups. Additionally, there was no significant difference in the rates of reconveyance or postoperative biliary stricture.
Stent placement and ENBD are recommended for treating bile leakage after liver transplantation, with similar efficacy and prognosis.
支架置入术和内镜鼻胆管引流术(ENBD)均常用于治疗肝移植术后胆漏。然而,很少有研究比较这两种方法的优势。
比较支架置入术和ENBD治疗肝移植术后胆漏的预后。
我们回顾性收集了本中心肝移植术后胆漏患者的数据。比较了支架置入组和ENBD组的疗效和预后。
我们回顾性收集了50例肝移植术后1个月内诊断为胆漏的患者的数据。40例患者接受了ENBD,9例接受了支架置入术。两组患者的基线特征,除白细胞计数、总胆红素和直接胆红素水平外,具有可比性。此外,再次转运率或术后胆管狭窄发生率无显著差异。
推荐使用支架置入术和ENBD治疗肝移植术后胆漏,二者疗效和预后相似。