Post Liver Transplantation Complications: Early Surgical Complications

AbstractDespite major advances in the field of liver transplantation over the past few decades with both increased graft and patient survival, biliary complications still occur in many patients after liver transplantation. Complications can range from a biliary leak or biloma to strictures most commonly involving the surgical anastomosis, or elsewhere in the biliary tree. Etiologies of these complications include surgical technique, rejection, complications secondary to infection, and vascular complications causing ischemia of the bile ducts. Biliary complications, particularly biliary ischemia, can cause significant morbidity to the patient, and may require multiple endoscopic, endovascular, or percutaneous therapies for successful treatment, or even retransplantation in severe cases. This review will provide an overview of common biliary complications with a focus on biliary ischemia.

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Surgical complications and outcome of paediatric liver transplantation: the Singapore experience

Pediatric Surgery International ◽

10.1007/s00383-005-1482-x ◽

2005 ◽

Vol 21 (8) ◽

pp. 609-614 ◽

Cited By ~ 6

Author(s):

K. Prabhakaran ◽

J. Z. Patankar ◽

S. H. Quak

Keyword(s):

Liver Transplantation ◽

Surgical Complications ◽

Paediatric Liver Transplantation

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The impact of hepatitis C virus infection on early post-liver transplantation complications and early graft function in a single low-volume liver transplant center

Acta medica Lituanica ◽

10.6001/actamedica.v22i1.3073 ◽

2015 ◽

Vol 22 (1) ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Arida Buivydienė ◽

Viktorija Basytė ◽

Laura Mašalaitė ◽

Danguolė Stanislovaitytė ◽

Jurgita Adomavičiūtė ◽

...

Keyword(s):

Liver Transplantation ◽

Graft Function ◽

Vascular Complications ◽

Hcv Infection ◽

End Stage Liver Disease ◽

Transplant Center ◽

Early Graft ◽

Transplantation Complications ◽

End Stage ◽

The Impact

Background. End-stage liver disease associated with hepatitis C virus (HCV) infection has become one of the leading indications for liver transplantation. The effect of HCV infection on patients and long-term graft survival after orthotopic liver transplantation is well known. The aim of this study was to evaluate the impact of HCV infection on early post-liver transplantation complications and early graft function. Materials and methods. Between July 2005 and February 2015 60 cadaveric orthotopic liver transplantations were performed in 58 adult patients at the Vilnius University Hospital Santariškių Clinics. We retrospectively reviewed our low-volume liver transplant center experience. To evaluate the changes that occurred in HCV-positive and HCV-negative transplant recipients, the study population was divided into two groups according to their HCV status. Statistical analysis was performed using the Microsoft Excel and SPSS 20.0 program. Group differences and data reliability were determined by the Student’s t-test. Results. For 21 patients (35%) the indication for liver transplantation was end-stage liver disease due to HCV infection and for 39 patients (65%) there was another (non-HCV infection) indication. Overall, 29 patients (48%) have developed early biliary and/or vascular complications after transplantation: vascular complications were observed in 17 patients (28%) and biliary complications were observed in 12 patients (20%). Early graft function was good or fair in 52 patients (87%), primary dysfunction was observed in 8 (13%) patients. Conclusions. The incidence of early post-transplant complications and early graft dysfunction had no statistically significant difference according to the patient’s HCV status.

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