Crafa F, Gugenheim J, Fabiani P, Goubaux B, Mouiel J
Centro Trapianti Ospedale St. Roch, Nizza, Francia.
Minerva Chir. 1993 Sep 15;48(17):875-80.
Biliary tract complications are still an important source of morbidity and mortality after liver transplantation. Between March 1988 and September 1991 we performed 111 liver transplants in 109 patients (84 men and 25 women, mean age 44.5 +/- 1.1 year). Biliary tract reconstruction was via a choledocho-choledochostomy (n = 107) or via a Roux limb choledochojejunostomy (n = 4). Ten biliary complications (11.9%) occurred (6 biliary leakage, 3 biliary strictures, 1 biliary cast syndrome). Five patients (5.9%) necessitated operative repair (Roux limb choledochojejunostomy). No death was related to biliary tract complication.
胆道并发症仍是肝移植术后发病和死亡的重要原因。1988年3月至1991年9月期间,我们对109例患者(84例男性,25例女性,平均年龄44.5±1.1岁)进行了111例肝移植手术。胆道重建采用胆总管-胆总管吻合术(n = 107)或Roux袢胆总管空肠吻合术(n = 4)。发生了10例胆道并发症(11.9%)(6例胆漏、3例胆道狭窄、1例胆泥综合征)。5例患者(5.9%)需要手术修复(Roux袢胆总管空肠吻合术)。无死亡与胆道并发症相关。