Biliary complications in living liver donors |
| |
Authors: | Yufeng Yuan Mitsukazu Gotoh |
| |
Institution: | (3) Department of Surgery, Center for Liver Disease and Transplantation, The New York Presbyterian Hospital, New York, NY; |
| |
Abstract: | With the increasing use of living donor liver transplantation (LDLT), the morbidity and mortality of the donors have thus
become inevitable problems associated with this procedure. The most common postoperative complications among donors for LDLT
involve the biliary tract. The incidence of biliary complications in donors tends to be about 5% based on recent publications.
Anatomical variations in the biliary tract, higher predonation alkaline phosphatase levels, and intraoperative blood transfusions
are also risk factors for biliary complications in the donors after donation. Donors with biliary complications often show
unspecific symptoms and most of the biliary complications can be normally treated by nonsurgical methods. Interventional procedures
such as percutaneous placement of a peritoneal drain, percutaneous/endoscopic biliary drainage, and combinations of balloon
dilatation and/or stenting are effective in the treatment of bile leakage and biliary stricture. A clear understanding of
the biliary anatomy of each donor and refined surgical techniques will help to minimize risk of biliary complications for
living liver donors. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|