MINIINVASIVE METHODS IN THE TREATMENT OF BILIARY COMPLICATIONS AFTER LIVER TRANSPLANTATION
https://doi.org/10.15825/1995-1191-2011-2-78-82
Abstract
Complications of the biliary tract like bile leaks, strictures are an important cause of morbidity and mortality after liver transplantation. The frequency of such complications ranges from 5 to 25%. In most cases, biliary complications can be treated by endoscopy and/or methods of interventional radiology. This article is about the clinical case of liver transplantation with duct-to-duct biliary reconstruction, complicated by bile leaks, biliary tract stricture. Surgical correction of complications was ineffective. We used miniinvasive methods and got po- sitive clinical outcome after radiology intervention for prosthetics of the common bile duct.
About the Authors
A. Y. Popov
S.V. Ochapovsky Krasnodar regional clinical hospital, Krasnodar
Russian Federation
Russian Federation
A. N. Lishchenko
S.V. Ochapovsky Krasnodar regional clinical hospital, Krasnodar
Russian Federation
Russian Federation
M. N. Davydenko
S.V. Ochapovsky Krasnodar regional clinical hospital, Krasnodar
Russian Federation
Russian Federation
A. N. Katrich
S.V. Ochapovsky Krasnodar regional clinical hospital, Krasnodar
Russian Federation
Russian Federation
M. I. Bykov
S.V. Ochapovsky Krasnodar regional clinical hospital, Krasnodar
Russian Federation
Russian Federation
V. A. Porkhanov
S.V. Ochapovsky Krasnodar regional clinical hospital, Krasnodar
Russian Federation
Russian Federation
References
1. Хубутия М.Ш., Олисов О.Д., Лотов А.Н., Чжао А.В. Билиарные осложнения после ортотопической
2. трансплантации печени // Трансплантология. 2010. No 1. С. 96.
3. Готье С.В., Константинов Б.А., Цирульникова О.М. Трансплантация печени: Руководство для врачей. М.: ООО «Медицинское информационное агентство», 2008. 248 с.
4. Mercado M.A., Vilatobá M., Chan C. et al. Intrahepa- tic bilioenteric anastomosis after biliary complications of liver transplantation: operative rescue of surgical failures // World J. Surg. 2009. Vol. 33. No 3, Mar. P. 534–538.
5. Pascher A., Neuhaus P. Biliary complications after deceased-donor orthotopic liver transplantation // J. Hepatobiliary Pancreat. Surg. 2006. Vol. 13. No 6. P. 487–496.
6. Pascher A., Neuhaus P. Bile duct complications after liver transplantation // Transpl. Int. 2005. Vol. 18. No 6, Jun. P. 627–642.
7. Dorobantu B., Brasoveanu V., Matei E. et al. Biliary complications after liver transplantation – 523 consecuti- ve cases in two centers // Hepatogastroenterology. 2010. Vol. 57. No 101, Jul-Aug. P. 932–938.
8. Krok K.L., Cárdenas A., Thuluvath P.J. Endoscopic management of biliary complications after liver trans- plantation // Clin. Liver Dis. 2010. Vol. 14. No 2, May. P. 359–371.
9. Gómez C.M., Dumonceau J.M., Marcolongo M. et al. Endoscopic management of biliary complications after adult living-donor versus deceased-donor liver trans- plantation // Transplantation. 2009. Vol. 15. No 88 (11), Dec. P. 1280–1285.
10. Weiss S., Schmidt S.C., Ulrich F. et al. Biliary recons- truction using a side-to-side choledochocholedochosto- my with or without T-tube in deceased donor liver trans- plantation: a prospective randomized trial // Ann Surg. 2009. Vol. 250. No 5, Nov. P. 766–771.
Review
For citations:
Popov A.Y., Lishchenko A.N., Davydenko M.N., Katrich A.N., Bykov M.I., Porkhanov V.A. MINIINVASIVE METHODS IN THE TREATMENT OF BILIARY COMPLICATIONS AFTER LIVER TRANSPLANTATION. Russian Journal of Transplantology and Artificial Organs. 2011;13(2):78-82. (In Russ.) https://doi.org/10.15825/1995-1191-2011-2-78-82
Views:
818
Email this article 