Suppr超能文献

在肝移植术后胆漏的治疗中,支架置入可取得与内镜鼻胆管引流相同的预后效果。

Stent placement can achieve same prognosis as endoscopic nasobiliary drainage in treatment of bile leakage after liver transplantation.

作者信息

Gu Yang-Jun, Chen Zhi-Tao, Li Qi-Yong

机构信息

Department of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou 310000, Zhejiang Province, China.

出版信息

World J Gastrointest Surg. 2025 May 27;17(5):104191. doi: 10.4240/wjgs.v17.i5.104191.

Abstract

BACKGROUND

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.

AIM

To compare the prognosis of stent placement and ENBD in treating bile leakage following liver transplantation.

METHODS

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.

RESULTS

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.

CONCLUSION

Stent placement and ENBD are recommended for treating bile leakage after liver transplantation, with similar efficacy and prognosis.

摘要

背景

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。

目的

比较支架置入术和ENBD治疗肝移植术后胆漏的预后。

方法

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。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f4/12149934/27b330aef28b/104191-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验