Abstract：
:During orthotopic liver transplantation (OLT), various situations may occur in which biliary reconstruction is neither technically feasible nor recommended. One bridge to a delayed anastomosis can be an external biliary fistula (EBF). This procedure allows the surgeon to execute hemostatic maneuvers, such as abdominal packing; therefore, biliary reconstruction can be subsequently performed in a bloodless operative field without edematous tissues. EBF can be made by placing in the donor biliary tract a cannula that is fixed to the bile duct using 2-0 silk ties and secured outside the abdominal wall. The biliary anastomosis will be performed within 2 days after the OLT. The aim of this study was to examine the safety of EBF in terms of the incidence of biliary complications compared with a direct anastomosis. Among 1,634 adult OLTs performed in 17 years in our center, 1,322 were carried out with termino-terminal hepaticocholedochostomy (HC-TT); two with side-to-side hepaticocholedochostomy; 208 with hepaticojejunostomy (HJ); 31 with EBF and delayed HC-TT, and 71 with EBF and delayed HJ. Biliary complication rates in the EBF group were 24.5%, including 23.9% in the delayed HJ and 25.8% in the delayed HC-TT. Biliary complication incidence among all OLTs was 24.6% (P = NS). No complications related to the procedure were observed. Therefore, EBF is a safe technique without a higher biliary complication rate. It may be useful when a direct biliary anastomosis is dangerous.
journal_name
Transplant Procjournal_title
Transplantation proceedingsauthors
Gilbo N,Mirabella S,Strignano P,Ricchiuti A,Lupo F,Giono I,Sanna C,Fop F,Salizzoni Mdoi
10.1016/j.transproceed.2009.03.026subject
Has Abstractpub_date
2009-05-01 00:00:00pages
1316-8issue
4eissn
0041-1345issn
1873-2623pii
S0041-1345(09)00413-8journal_volume
41pub_type
杂志文章abstract：:Despite the widespread use of high-dose therapy combined with autologous hematopoietic stem cell transplantation (autoHSCT), the outcomes of multiple myeloma (MM) treatment remain variable. The aim of this study was to define pretransplantation factors that influence outcomes following autoHSCT in patients with MM. Ei...
journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2007.08.052
更新日期：2007-11-01 00:00:00
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pub_type： 杂志文章,多中心研究
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abstract：BACKGROUND:Primary sclerosing cholangitis (PSC) and autoimmune sclerosing cholangitis (ASC) are often associated with ulcerative colitis (UC). The impact on the course of UC remains unclear, and up-to-date evidence in pediatric populations is scarce. The aim of the study was to analyze the course of UC in pediatric pat...
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pub_type： 杂志文章
doi：10.1016/j.transproceed.2020.09.011
更新日期：2021-01-01 00:00:00
abstract：:Plasma cell-rich acute rejection (PCAR) is a rare type of allograft rejection in renal transplantation. It is characterized by the presence of mature plasma cells that compromise more than 10% of inflammatory cells infiltrating the renal graft. The pathogenesis of PCAR is unknown, appears late, and has been related ma...
journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2019.12.015
更新日期：2020-03-01 00:00:00
abstract：:Renal transplantation is the treatment of choice for end-stage renal disease. Vascular complications in renal transplantation are not uncommon and may often lead to allograft loss. The most common vascular complications are transplant renal artery stenosis, transplant renal artery thrombosis, transplant renal vein thr...
journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2009.02.077
更新日期：2009-06-01 00:00:00
abstract：:Experimental studies have demonstrated that calcium is an essential molecule in modulation of erythropoiesis. The aim of this study was to investigate the role of serum calcium levels on the development of posttransplantation erythrocytosis (PTE) among renal transplant recipients. We enrolled 155 patients (36 females/...
journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2005.08.041
更新日期：2005-09-01 00:00:00
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journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2005.09.135
更新日期：2005-10-01 00:00:00
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journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2016.11.006
更新日期：2017-01-01 00:00:00
abstract：PURPOSE:Despite medical and surgical advances, vascular complications remain common after renal transplant, occurring among 3%-15% of patients. These complications may compromise graft function. This study sought to evaluate the frequency and management of vascular complications after renal transplant. MATERIALS AND M...
journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2011.01.007
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abstract：:In addition to primary injury in severe head trauma, secondary systemic insults that aggravate the brain injury may result in fatal neurologic outcome. We aim to evaluate the correlation between brain death and secondary systemic insults in 100 patients with severe traumatic brain injury (TBI) admitted to the intensiv...
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pub_type： 杂志文章
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更新日期：2019-09-01 00:00:00
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journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/s0041-1345(03)00834-0
更新日期：2003-09-01 00:00:00
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pub_type： 杂志文章
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更新日期：2003-06-01 00:00:00
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journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2014.11.026
更新日期：2015-01-01 00:00:00
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journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2010.02.043
更新日期：2010-04-01 00:00:00
abstract：INTRODUCTION:After significant improvement of the family consent rate to organ donation (OD) in recent years, owing to an increase in cultural activities and social awareness, a plateau has been reached. This study was performed to detect the causes for this plateau. METHODS:We reviewed exact causes of family refusal ...
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pub_type： 杂志文章
doi：10.1016/j.transproceed.2017.11.021
更新日期：2018-01-01 00:00:00
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更新日期：2020-12-01 00:00:00
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journal_title：Transplantation proceedings
pub_type： 杂志文章
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更新日期：2019-06-01 00:00:00
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journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：
更新日期：1991-10-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
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journal_title：Transplantation proceedings
pub_type： 杂志文章
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更新日期：2014-01-01 00:00:00
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journal_title：Transplantation proceedings
pub_type： 杂志文章
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更新日期：2005-12-01 00:00:00
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journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2008.03.156
更新日期：2008-06-01 00:00:00
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pub_type： 杂志文章
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更新日期：2011-03-01 00:00:00
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pub_type： 杂志文章
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更新日期：2010-11-01 00:00:00
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pub_type： 临床试验,杂志文章,多中心研究
doi：
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journal_title：Transplantation proceedings
pub_type： 杂志文章
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更新日期：2014-01-01 00:00:00
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journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：10.1016/j.transproceed.2008.08.052
更新日期：2008-10-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2003-05-01 00:00:00
abstract：:Pancreatic islet cells of rats obtained by the collagenase digestion method were preserved from 7 to 10 days at -80 degrees C in a deep freezer or at -196 degrees C in liquid nitrogen with Dulbecco modified Eagle's medium, supplemented with 10% or 20% DMSO (dimethyl sulfoxide); thawing was performed in a 37 degree C w...
journal_title：Transplantation proceedings
pub_type： 杂志文章
doi：
更新日期：1981-06-01 00:00:00
