Details

Autor(en) / Beteiligte

• Chok, Kenneth SH
• Chan, Albert CY
• Sharr, William W
• Cheung, Tan To
• Fung, James YY
• Chan, See Ching
• Lo, Chung Mau

Titel

Outcomes of endo-radiological approach to management of bile leakage after right lobe living donor liver transplantation

Ist Teil von

• Journal of gastroenterology and hepatology, 2016-01, Vol.31 (1), p.190-193

Ort / Verlag

Australia: Blackwell Publishing Ltd

Erscheinungsjahr

2016

Quelle

Wiley Online Library Journals Frontfile Complete

Beschreibungen/Notizen

• Background and Aim Bile leakage is a major complication after right lobe living donor liver transplantation (RLDLT). It can result in significant morbidities and, occasionally, mortalities. Endo‐radiology is a non‐surgical means that has been used to manage this complication. This study reviews the outcomes of the endo‐radiological approach to the management of bile leakage after RLDLT with duct‐to‐duct anastomosis (DDA) at a high‐volume center. Method A retrospective study was conducted on all adult patients who received RLDLT at our center between January 2001 and December 2013. There were 496 RLDLTs performed during the study period. Only patients who had DDA as the only bile duct reconstruction method were included in the study. Results Twelve (3.7%) out of the 328 study subjects developed bile leakage after RLDLT. Six out of these 12 patients were successfully treated with the endo‐radiological approach without the need for laparotomy. They had endoscopic retrograde cholangiography with stenting followed by percutaneous drainage of biloma. One of the 12 patients died from recurrence of hepatocellular carcinoma 37 months after transplantation. The remaining 11 patients are all alive. Conclusion The endo‐radiological approach should be the first‐line management for bile leakage for selected patients with DDA as the bile duct reconstruction method.