[Experience of vascular and bile duct reconstruction in 40 cases of orthotopic liver transplantation].
OBJECTIVE
To summarize the vascular and bile duct reconstruction experience in 40 cases of orthotopic liver transplantation in the southwest hepatobiliary surgery hospital.


METHODS
The clinical data of 40 cases of liver transplantation were analyzed retrospectively from Jan. 1999 to Nov. 2001.


RESULTS
Mortality rate of this group was 15.0%. Complications included: pulmonary infection (18 cases), MOSF (5 cases), intraperitoneal bleeding (4 cases), ARDS (8 cases), thrombus of hepatic artery (1 case), bile leakage (1 case), and cerebral hemorrhage (1 case). The longest survival time was 31 moths (1 case). There were 15 cases whose survival time was more than 1 year.


CONCLUSIONS
The key point of success of liver transplantation relies on excellent vascular and bile duct reconstruction technique.
Dong
Jiahong
J
Hepatobiliary Surgery Institue of PLA, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Wang
Shuguang
S
Bie
Ping
P
Wang
Huaizhi
H
Yang
Zhanyu
Z
He
Yu
Y
Li
Zhihua
Z
Cai
Jingxiu
J
D000328:Adult; D001659:Biliary Tract / Q000503:physiopathology*; D001808:Blood Vessels / Q000503:physiopathology*; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality* / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000379:methods*; D015996:Survival Rate