端端吻合胆道重建在活体肝移植中的应用
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徐三荣, 王学浩, 李相成, 张 峰, 成 峰,
活体肝移植;胆道重建;胆道并发症,徐三荣,王学浩,李相成,张峰,成峰,李国强,王科,通讯作者：,收稿日期：,接受日期：,Applicationofduct-to
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徐三荣, 王学浩, 李相成, 张峰, 成峰, 李国强, 王科, 南京医科大学第一附属医院肝移植中心 江苏省南京市 210029
通讯作者：李相成, 210029, 江苏省南京市, 南京医科大学第一附属医院肝移植中心. doclixc@hotmail.com
收稿日期：2005-09-21 接受日期：2005-09-30
Application of duct-to-duct biliary reconstruction in living donor liver transplantation
San-Rong Xu, Xue-Hao Wang, Xiang-Cheng Li, Feng Zhang, Feng Cheng, Guo-Qiang Li, Ke Wang
San-Rong Xu, Xue-Hao Wang, Xiang-Cheng Li, Feng Zhang, Feng Cheng, Guo-Qiang Li, Ke Wang, Center of Liver Transplantation, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China
Correspondence to: Dr. Xiang-Cheng Li, Center of Liver Transplantation, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Procince, China. doclixc@hotmail.com
Received: 2005-09-21 Accepted: 2005-09-30
Abstract
AIM: To evaluate the operative outcome, complication, and managing principles of the duct-to-duct biliary reconstruction in living donor liver transplantation (LDLT).
METHODS: The clinical data of 24 patients who underwent LDLT (6 for right lobe, 16 for left lobe, and 2 for left lateral lobe) were analyzed retrospectively. The duct-to-duct biliary anastomosis with T tube drainage was used in the biliary reconstruction.
RESULTS: Of the 24 patients underwent duct-to-duct biliary reconstruction, 18 were treated by connecting the donors’ right hepatic duct with the recipients’ common bile duct, and 5 by connecting the donors’ left hepatic duct with the recipients’ common hepatic duct. For the other patient, the two opens of hepatic duct were respectively connected to the recipient’s common hepatic and bile duct. Biliary leakage appeared in 2 patients, and stenosis of biliary tract happened in 1 patient. Two patients had cholangitis after the operation. One case developed biliary peritonitis after the T tube was taken out, but recovered after treatment with biliary duct drainage ......
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