Complications of biliary tract in liver transplantation

被引:81
作者
Testa, G [1 ]
Malagò, M [1 ]
Broelsch, CE [1 ]
机构
[1] Univ Hosp Essen, Dept Gen Surg & Transplantat, D-45122 Essen, Germany
关键词
D O I
10.1007/s00268-001-0113-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
Bile duct leaks and stenosis, although greatly reduced in their incidence, still play a major role in early and late graft loss. Their pathogenesis is multifactorial, being related to graft quality, ischemia time, arterial blood flow, and, of course, technical mishaps. The diagnosis and treatment of biliary complications is nowadays a joint effort among surgeons, interventional radiologists, and gastroenterologists. The correct algorithm in obtaining a fast diagnosis and the correct therapeutic approach are necessary to save the graft, avoid retransplantation or recipient death. Although this may seem to be a simple and basic concept, it assumes tremendous importance in liver transplantation in which the differential diagnosis between biliary and arterial complications or graft rejection and malfunctioning is often a difficult one.
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收藏
页码:1296 / 1299
页数:4
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