[Biliary complications in the follow-up of 54 orthotopic liver transplant patients].
We analyze the biliary tract complications after 54 orthotopic liver transplantation in 49 patients during a 2-year period. Biliary tract reconstruction was achieved by a choledochocholedochostomy over a t-tube in 47 cases and by a Roux-en-Y choledochojejunostomy in 7 cases (2 sclerosing cholangitis, 4 retransplants and 1 secondary biliary cirrhosis). The t-tube was removed between the 12-16 postoperative week in all cases except in two patients (2 and 3 postoperative week).


RESULTS
There was not intraoperative mortality. During the first postoperative month 8 patients died (16.3%) none of them because a biliary complications. The one year actuarial survival of patients was 74.6%. During the (first three postoperative months) we observed 5 patients with a bile leak (biloma). In 3 cases the ultrasonographic drainage was effective and in two cases a surgical drainage was necessary. After the 3rd postoperative month, four patients developed a biliary peritonitis after t-tube removal and a reoperation was required in all cases. Finally, 1 patient suffered a hilar biloma cavity due to hepatic artery thrombosis. We stress the low incidence of reoperations due to early biliary complications (2 cases) and the high incidence of biliary peritonitis after t-tube removal.
Ramírez
P
P
Unidad de Trasplante Hepático, Hospital Universitario Virgen de la Arraixaca, El Palmar, Murcia.
Parrilla
P
P
Bueno
F
F
Robles
R
R
Miras
M
M
Pons
J A
JA
Acosta
F
F
Rodríguez
J M
JM
Luján
J
J
Albarracín
A
A
D000293:Adolescent; D000328:Adult; D001660:Biliary Tract Diseases / Q000453:epidemiology* / Q000401:mortality; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016031:Liver Transplantation / Q000379:methods / Q000401:mortality / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000401:mortality; D013030:Spain / Q000453:epidemiology; D016019:Survival Analysis; D013997:Time Factors
Complicaciones biliares en el seguimiento de 54 trasplantes ortotópicos de hígado.