title: Simultaneous surgical repair for combined biliary and arterial stenoses after liver transplantation.
abstract: After orthotopic liver transplantation (OLT), hepatic artery stenoses (HAS) and biliary strictures (BS) are frequent. These complications remain a significant cause of graft loss and patient death. The present study reported a group of 7 patients in whom both HAS and BS were identified and treated surgically in the same surgical session. The median times to diagnosis were 42 (range, 5-120) and 84 (range, 15-280) days after OLT for biliary and arterial stenosis, respectively. The mortality was nil. Two patients (28%) developed postoperative complications. The median hospital stay was 16 days (range, 10-42). All patients are alive; there was no graft loss. With a median of 76 months' follow-up (range, 38-132), only 1 patient (14%) developed recurrence of both BS and HAS. In patients with coincident biliary and artery stenosis, concomitant surgical repair is feasible, offering good long-term results.
authors.affiliation: Department of Digestive Surgery, Hôpital Beaujon, University of Paris VII, Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: Sommacale
authors.forename: V
authors.initials: V
authors.lastname: Rochas Dos Santos
authors.forename: F
authors.initials: F
authors.lastname: Dondero
authors.forename: C
authors.initials: C
authors.lastname: Francoz
authors.forename: F
authors.initials: F
authors.lastname: Durand
authors.forename: A
authors.initials: A
authors.lastname: Sibert
authors.forename: C
authors.initials: C
authors.lastname: Paugam-Burtz
authors.forename: A
authors.initials: A
authors.lastname: Sauvanet
authors.forename: J
authors.initials: J
authors.lastname: Belghiti
mesh_terms: D000328:Adult; D001158:Arteries / Q000473:pathology*; D001659:Biliary Tract / Q000473:pathology*; D003251:Constriction, Pathologic / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies