[Technique of biliary reconstruction in liver transplantation and surgical treatment of complications].
Reconstruction of the biliary tree is the last step of a liver transplant procedure. The two techniques currently used are anastomosis of the common bile ducts with or without a Kehr drain and anastomosis to a Roux-en-Y jejunal limb. The latter procedure is usually done when the former is not feasible (missing or abnormal bile duct in the recipient). Biliary complications still occur in 5% to 25% of liver transplant recipients. The most common are fistulas and, above all, stenosis of the anastomosis. Treatment usually requires a surgical procedure to repair the anastomosis, drain a fistula, or perform a Roux-en-Y jejunal anastomosis. However, some complications are amenable to endoscopic or percutaneous treatment.
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Clinique Chirurgicale Hôpital Cochin, Paris.
D000713:Anastomosis, Roux-en-Y; D000714:Anastomosis, Surgical; D001660:Biliary Tract Diseases / Q000209:etiology / Q000601:surgery*; D003135:Common Bile Duct / Q000601:surgery*; D006498:Hepatectomy; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D011183:Postoperative Complications
Technique de la reconstruction biliaire en transplantation hépatique et traitement chirurgical des complications.