title: [Prevention and treatment of biliary complications following orthotopic liver transplantation].
abstract: OBJECTIVE
  To study the prevention and treatment of biliary complications after orthotopic liver transplantation.
  
  
  METHODS
  Clinical data of 183 recipients who had received liver transplantation between May 1995 and December 2006 were retrospectively analyzed.
  
  
  RESULTS
  Biliary complications occurred in 15 patients (15/183, 8.2%). The incidence for short-term and long-term complication were 6.0% (11/183) and 2.2% (4/183) respectively. No biliary complications was due to hepatic artery thrombosis(HAT). Four cases who received PTC(percutaneous transhepatic cholangiography) with stent insertion,8 cases who received ERCP( endoscopic retrograde cholangiopancreatography) with stent insertion and 1 who received Roux-en-Y choledochojejunostomy for anastomotic stricture were successfully cured. Two cases required relaparotomy died for fungus infection eventually. The mortality due to biliary complications was 1.1%.
  
  
  CONCLUSIONS
  The rapid combined abdominal organ harvesting technique could shorten the ischemia time and ameliorate the injury due to vascular and bile duct variances, which could reduce the incidence of biliary complication. PTC and (or) ERCP combined with stent insertion were main procedure for biliary complications not related to HAT after liver transplantation.
authors.affiliation: Department of General Surgery, First Hospital of China Medical University, Shenyang 110001, China. yfliu@mail.cmu.edu.cn
authors.forename: Yong-feng
authors.initials: YF
authors.lastname: Liu
authors.forename: Gui-chen
authors.initials: GC
authors.lastname: Li
authors.forename: Gang
authors.initials: G
authors.lastname: Wu
authors.forename: Jia-lin
authors.initials: JL
authors.lastname: Zhang
authors.forename: Shu-rong
authors.initials: SR
authors.lastname: Liu
authors.forename: Yi-man
authors.initials: YM
authors.lastname: Meng
authors.forename: Ying
authors.initials: Y
authors.lastname: Cheng
authors.forename: Lei
authors.initials: L
authors.lastname: Yang
authors.forename: Ming-jun
authors.initials: MJ
authors.lastname: Sun
authors.forename: Xi-tong
authors.initials: XT
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D001660:Biliary Tract Diseases / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control / Q000628:therapy; D012189:Retrospective Studies