OutcomePreliminary Study of Choledochocholedochostomy Without T Tube in Liver Transplantation: A Comparative Study
Section snippets
Methods
Between April 1986 and September 2004, we performed a retrospective, longitudinal and comparative study on our 1012 liver transplantations. We have selected 50 adult recipients carrying a T tube for comparison with a control group who underwent a choledochocholedochostomy without a T tube. Mean recipient age was 51.93 ± 9.78 years, and 71% were males. According to Child-Pugh classification, 52% were stage C, 35% stage B, and 13% stage A. The indication for liver transplantation was
Biliary Complications (n = 16)
Complications included ischemic cholangiopathy related to hepatic artery thrombosis (3), cholangitis (6), choledocholithiasis (1), anastomotic stricture (7), bile leak at the T tube insertion (1), biliary peritonitis after T tube removal (1), incidental T tube removal (2), ischemic cholangiopathy (3), anastomotic structure related to arterial thrombosis (4), and need for hepaticojejunostomy (7). In two cases, the complications were resolved through PTC.
Retransplant (n = 4)
Reasons included gallbladder cancer in the
Discussion
Primary biliary anastomosis stented with a T tube has been used as the standard technique for biliary reconstruction in liver transplantation. Its advantages have been fully described.1 Some authors have also described more biliary complications when a T tube was not used, recommending a stented anastomosis after liver transplantation.2
Nevertheless, specific complications related to the T tube have been associated with this procedure,3 mainly bile leak, cholangitis, bile obstruction, tube
References (5)
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Biliary tract reconstruction after liver transplantationwith or without T tube?
Transplant Proc
(1997) - et al.
Biliary reconstruction without T-tube in liver transplantation
Transplant Proc
(2004)
Cited by (11)
Biliary reconstruction in liver transplantation: Is a biliary tutor necessary?
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