Biliary reconstruction without T-tube in liver transplantation.

Abstract:

:Biliary complications have been reported in 9% to 34% of liver transplant patients. Although most centers seem to prefer a duct-to-duct anastomosis without a T-tube when feasible, the best method of biliary reconstruction remains controversial. The aim of this study was to review our experience on reconstruction of the biliary tract without drainage. Forty-one patients underwent 45 liver transplants over two periods. Forty patients underwent 15 liver transplants from October 1992 to March 1995; and 27 underwent 30 liver transplants from January 2002 to February 2003. Our standard biliary reconstruction was an end-to-end anastomosis without drain. The overall actuarial survival was 72.7% at 1 year, 64.7% at 3 years, and 56.6% at 5 years. The mean follow-up was 23 months. Eight patients (22.2%) developed biliary tract complications: five patients papillary dysfunction (13.9%); two, biliary stricture (5.5%); and one, biliary sludge without evidence of stricture (2.8%). Papillary dysfunction represented 62.5% of all complications. Biliary reconstruction without drainage may be routinely performed since the complications are only those not related to the T-tube.

journal_name

Transplant Proc

authors

Bacchella T,Figueira ER,Makdissi FF,Rocha-Santos V,Martino RB,Andraus W,Canedo LF,Machado MA,Machado MC

doi

10.1016/j.transproceed.2004.03.103

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

951-2

issue

4

eissn

0041-1345

issn

1873-2623

pii

S0041134504003641

journal_volume

36

pub_type

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