An Unusual Complication of Choledochocholedochostomy in Orthotopic Liver Transplantation

An Unusual Complication of Choledochocholedochostomy in Orthotopic Liver Transplantation
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原位肝移植中胆总管切开术的罕见并发症

DOI：
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
T. Starzl
T. Starzl
中科院分区：
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文献类型：
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作者：
A. Stieber;G. Ambrosino;D. Kahn;L. Mieles;L. Makowka;J. Lerut;S. Iwatsuki;S. Todo;J. Marsh;A. Tzakis;R. Gordon;C. Esquivel;T. Starzl

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胆道重建一直被认为是肝移植手术的致命弱点。许多作者所描述的技术的改进大大降低了胆道并发症的发生率。然而，这些并发症仍然会发生，并且在发病率和死亡率方面带来不成比例的高惩罚这些并发症的梗阻性类型有时具有非常隐蔽的表现和病程，需要高度怀疑才能正确诊断。本组倾向于端对端胆总管胆总管吻合术（CC）修复在过去的几年里，这种类型的修复出现了一些迄今未报道的并发症：供体和受体胆总管（CBDs）弥漫性扩张（DD），但没有任何明显的机械阻塞。
Biliary reconstruction was long considered the Achilles heel of the liver transplant operation. The refinement in the techniques described by various authors1 has dramatically reduced the incidence of biliary complications. These complications still occur, however, and carry a disproportionately high penalty in terms of morbidity and mortality.2 The obstructive type of these complications sometimes has a very insidious presentation and course that requires a high index of suspicion for a correct diagnosis. Our group favors the end-to-end choledochocholedochostomy (CC) repair whenever feasible.3 Over the past few years, a certain complication of this type of repair, heretofore unreported, has emerged: the diffuse dilatation (DD) of both donor and recipient common bile ducts (CBDs) without any obvious mechanical obstruction.