[Initial results of restoration of bile flow in liver transplant].
The initial results of biliary reconstruction in 72 liver transplants realized in 62 patients, 50 adults and 12 children, are presented. Three reconstruction techniques were used: end-to-end choledocho-choledochostomy on a Kehr tube in 44 transplants (61.1%); choledocho-jejunostomy on a Roux-en-Y loop in 24 transplants (33.3%); double derivation cholecysto-choledocho-jejunostomy in 2 transplants (2.7%). The number of early complications related to biliary reconstruction was 5 (7.14%): 3 fistulas in the choledocho-choledochostomy series (6.8%) and 2 fistulas among the choledocho-jejunostomies (8.3%). All complications required reoperation and mortality was nil. Thirty-two months after the onset of the program, no late complications of the biliary anastomosis have been registered.
Moreno González
E
E
Landa García
J I
JI
Calleja Kempin
J
J
Gómez Gutiérrez
M
M
Jover Navalón
J M
JM
Arias Díaz
J
J
Berenhauser Leite
G
G
Montenegro
R
R
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D005704:Gallbladder / Q000601:surgery*; D006500:Hepatic Duct, Common / Q000502:physiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007583:Jejunum / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged
Resultados iniciales en la restauración de la continuidad biliar en el trasplante hepático.