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Laparoscopic treatment of biliary peritonitis after removal of T-tube in liver transplant patients.

Abstract：

INTRODUCTION:T-tube removal in liver transplant patients can occasionally cause a massive biliary leak and may require surgical treatment for its resolution. We present our experience with a laparoscopic approach to biliary peritonitis in liver transplant patients after the removal of a T-tube. PATIENTS AND METHODS:From January 2003 until February 2010, we performed 351 liver transplantations in 313 recipients, including 135 with a T-tube. After its removal 31 biliary leaks developed (23%); 12 were massive and required surgery, which utilized a laparoscopic approach. RESULTS:The mean length of the intervention was 72.9 ± 12.87 minutes (range = 55-95), without any complications during the procedure, and no need to convert to a laparotomy. Mean hospital stay after the intervention was 6.75 ± 3.88 days (range 4-18). There was no mortality from the procedure. CONCLUSION:The laparoscopic approach for biliary leakage after T-tube removal is indicated when large diffuse acute peritonitis is established a few hours postremoval of the T-tube. This safe procedure treats the complication without the need for another laparotomy.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Cascales Campos P,Ramírez Romero P,González R,Pons JA,Miras M,Sanchez Bueno F,Robles R,Parrilla P

doi

10.1016/j.transproceed.2012.05.018

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

1550-3

issue

6

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(12)00449-6

journal_volume

44

pub_type

杂志文章

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