摘要
目的观察肝移植胆道重建方法的临床近期疗效.方法回顾性分析2005年4月至2007年3月昆明医学院第一附属医院55例原位肝移植资料,供受者的胆管行端端连续缝合49例,间断缝合6例,均未放置T管.结果2例(3.6%,2/55)肝移植术后发生胆道并发症,分别于术后6d、10d发现胆道吻合口漏,除3例移植术后感染并多器官功能衰竭死亡外,其余患者均治愈出院.结论良好的胆道重建技术和精细的操作能减少肝移植术后胆道并发症的发生,对胆道并发症的早期处理可获得满意的效果.
Objective To summarize the experience of biliary reconstruction, and to decrease the incidence of biliary complications after liver transplantation. Methods A retrospective analysis was used to study 55 cases subject to orthotopic liver transplantation consecutively performed in our transplantation center from Apr. 2005 to Mar. 2007. The biliary was reconstructed by end-to-end choledochocholedochostomy in all cases, without T tube. Continuous sutures were performed in 49 cases and interrupted sutures were performed in 6 cases. Result The biliary , complications were identified in 2 of 55 cases who underwent biliary reconstruction with an incidence of 3.6% , and both 2 patients developed biliary leakage. Besides three patients were died post-transplantation because of infection and multiple organ failure, all others were cured successfully. Conclusion The practiced and perfect skills of biliary reconstruction can decrease the occurrence of postoperative biliary complications. Early treatment of biliary complications may attain good results.
出处
《昆明医学院学报》
2008年第4期89-92,共4页
Journal of Kunming Medical College
关键词
肝移植
胆道重建
预防
治疗
Liver transplantation
Biliary complications
Prevention
Treatment
