Objective: To stud the clinical application of improved bile duct reconstruction in liver transplantation.
Methods: We retrospectively analyzed the clinical data of 131 patients who received liver transplantation from September 2005 to September 2007. The patients were divided into two groups according to the method of bile duct reconstruction. Group A (n=76) received traditional bile duct reconstruction, group B (n=55) received improved bile duct reconstruction. All operations were done by one operation team. The 2 groups were similar in age, gender, liver transplantation indications and Child-Pugh score. We mainly analyzed the time of bile duct reconstruction and postoperative biliary complication associated with anastomsis.
Results: We spent 14±2 min to reconstruct the bile duct in the traditional method group, and (13±2) min in the new method group (P<0.05).In A group, 4 cases (5.3%) encountered the biliary complication associated with anastomsis, 2 cases suffered from biliary strictures were cured by ERCP(endoscopic retrograde cholangiopancreatography); two cases suffered from bile leaks were recovered by conservative therapy. In B group, 1 case (1.8%) suffered from biliary complication associated with anastomsis was cured by ERCP.
Conclusions: The new bile duct reconstruction is easier and has fewer complications. It may be an ideal method for bile duct reconstruction in liver transplantation.