Biliary Complications After Liver Transplantation Using Side-to-Side Choledochocholedochostomy Reconstruction With or Without T-Tube

2012 ◽  
Vol 44 (7) ◽  
pp. 2098-2099 ◽  
Author(s):  
J.M. Benítez Cantero ◽  
G. Costán Rodero ◽  
J.L. Montero Álvarez ◽  
M.D. Ayllón Terán ◽  
C. Naveas Polo ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Biliary Complications ◽  
T Tube

scholarly journals Impact of early biliary complications in liver transplantation in the presence or absence of a T-tube: a Chinese transplant centre experience

2007 ◽  
Vol 83 (976) ◽  
pp. 120-123 ◽  
Author(s):  
T. Li ◽  
Z.-S. Chen ◽  
F.-J. Zeng ◽  
C.-S. Ming ◽  
W.-J. Zhang ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Biliary Complications ◽  
T Tube ◽  
Transplant Centre

scholarly journals Usefulness of T-Tube in Liver Transplantation: Still Effective or Outmoded Strategy?

2021 ◽  
Vol 2 (4) ◽  
pp. 379-386
Author(s):  
Niccolò Incarbone ◽  
Riccardo De Carlis ◽  
Leonardo Centonze ◽  
Livia Palmieri ◽  
Giuseppe Cordaro ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
High Risk ◽  
Postoperative Complications ◽  
Anastomotic Stricture ◽  
Low Risk ◽  
Biliary Complications ◽  
Tube Placement ◽  
Post Transplant ◽  
T Tube ◽  
High Risk Cohort

Introduction: T-tube placement during liver transplantation (LT) is still debated. We performed a retrospective study to evaluate the usefulness of T-tube after LT in two cohorts differing in post-transplant risk. Methods: A total of 327 LTs performed between 2015 and 2018 were included in the analysis. LTs from donation after circulatory death and living donation, split-liver transplants, and LTs with hepaticojejunostomy were excluded. T-tube was reserved for marginal grafts, high-risk recipients, and bile duct size discrepancy. A balance of risk (BAR) score of ≤9 defined the low-risk cohort (232 patients, 68 with and 164 without T-tube), while a BAR score of >9 defined the high-risk cohort (95 patients, 43 with and 52 without T-tube). Postoperative complications were estimated with the comprehensive complication index (CCI). Postoperative biliary complications were classified in anastomotic stricture (AS), non-anastomotic stricture (NAS), and biliary leakage (BL). Results: In the low-risk cohort, LTs with and without T-tube had similar rates of NAS (0 vs. 2.9%, p = 0.36), AS (2.9 vs. 2.4%, p = 0.83), and BL (1.4 vs. 2.4%, p = 0.64). Analogous outcomes were found in the high-risk cohort: NAS (0 vs. 0), AS (0 vs. 5.7%, p = 0.11), and BL (0 vs. 1.3%, p = 0.27). There were more postoperative complications among patients with T-tube, in both the low-risk (CCI 29 vs. 21, p < 0.001) and high-risk (CCI 51 vs. 29, p < 0.001) cohort. No differences in primary non-function, hepatic artery thrombosis, and mortality were observed. Conclusions: T-tube placement did not influence postoperative biliary complications. Although the two cohorts were normalized for post-transplant risk, LT recipients with T-tube had a more complicated course.

scholarly journals Anastomose Biliar no Transplante Hepático: Com ou Sem Tubo em T?

2017 ◽  
Vol 30 (2) ◽  
pp. 122
Author(s):  
Janine Carmelino ◽  
Susana Rodrigues ◽  
Hugo Pinto Marques ◽  
Vasco Ribeiro ◽  
Daniel Virella ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Logistic Regression ◽  
Explanatory Models ◽  
Biliary Fistula ◽  
Biliary Complications ◽  
Cold Ischemia ◽  
Liver Transplants ◽  
Endoscopic Retrograde ◽  
T Tube ◽  
Case Based

Introduction: Biliary complications occur in 10-30% of liver transplants. The aim of this study was to compare the incidence of these complications in liver transplants when the T-tube was or was not used during the biliary anastomosis.Material and Methods: Analysis of 2 groups of patients undergoing liver transplantation between 2008 and 2012. Patients were divided considering if the T-tube was used (G1) or if it was not (G2). We sought explanatory models of the occurrence of biliary complications by logistic regression, including the variables identified in the univariate analysis.Results: We reviewed 506 consecutive patients who underwent a first liver transplant (G1 = 363, G2 = 143). The overall incidence of biliary complications was 24.7% (95% CI 21.1 to 28.6): 27.0% in G1 and 18.9% in G2 (p = 0.057). The incidences of stenosis and biliary fistula tended to be higher in G1: 19.6% (95% CI 15.7 to 23.8) vs 15.4% (95% CI 10.1 to 22.0) (p = 0.275) and 6.6% (95% CI 4.4 to 9.5) vs 2.8% (95% CI 0.9 to 6.6) (p = 0.091). We did not find statistically significant differences in the rates of endoscopic retrograde cholangiopancreatography, reoperation and retransplantation. There were two deaths in G1. There was no association between the occurrence of biliary complications and the diameters of the biliary tract nor the time of cold ischemia. The explanatory model, adjusted to the recipient and the donor age’s and to the initial diagnosis, identifies the use of the T-tube as increasing the possibility of the occurrence of biliary complications (AdjOR 1.71, 95% CI 1.04 to 2.80; p = 0.034).Discussion and Conclusion: The use of the T-tube should be a decision taken on a case-based intraoperative judgment of experienced surgeons

Biliary Complications in Orthotopic Liver Transplantation Using Choledochocholedochostomy with a T-tube

2012 ◽  
Vol 44 (6) ◽  
pp. 1554-1556 ◽  
Author(s):  
M. Gastaca ◽  
A. Matarranz ◽  
F. Muñoz ◽  
A. Valdivieso ◽  
A. Aguinaga ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Orthotopic Liver Transplantation ◽  
Biliary Complications ◽  
T Tube

T-TUBE RELATED BILIARY COMPLICATIONS AND STEROIDS AFTER LIVER TRANSPLANTATION

1999 ◽  
Vol 67 (9) ◽  
pp. S638
Author(s):  
G. Tisone ◽  
A. Anselmo ◽  
G. Orlando ◽  
C. U. Casciani
Keyword(s):  
Liver Transplantation ◽  
Biliary Complications ◽  
T Tube

T-tube removal after liver transplantation: a new technique that reduces biliary complications

2002 ◽  
Vol 74 (3) ◽  
pp. 410-413 ◽  
Author(s):  
Lucio Urbani ◽  
Alessandro Campatelli ◽  
Jacopo Romagnoli ◽  
Gabriele Catalano ◽  
Giorgio Sartoni ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Biliary Complications ◽  
New Technique ◽  
T Tube ◽  
Tube Removal ◽  
A New Technique

Management of biliary complications after Liver Transplantation – lessons learned from more than 1,000 patients

2009 ◽  
Vol 47 (05) ◽  
Author(s):  
G Györi ◽  
R Schwarzer ◽  
F Langer ◽  
A Püspök ◽  
M Peck-Radosavljevic ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Lessons Learned ◽  
Biliary Complications
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