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Introducction: Hepatic transplantation (HT) is an excellent treatment option for selected patients with chronic and acute liver failure, with survival rates of 85% one year and 70% five year survival rate. Billiary complications occur in 11 to 36% of patients, mostly in the first three months post transplant. The HSJ-Tec de Monterrey has a cadaver HT program that started in 1999 and since then the same surgical team has carried out 51 transplants, the program results have been presented previously. This publication centers on the incidence of biliary complications (BC). Objectives: Describe and analyze the BC in the HT program at the Hospital San José-Tec de Monterrey. Materials and methods: A retrospective analysis was carried out of the 51 Liver transplants between 1999 and 2010 and the incidence of BC was determined. A univariate analysis of the following variables was calculated: donor age, preservation solution used in the harvest, age, etiology and CHILD-Pugh Score of the host, surgical technique and coincidence of other HT complications to establish possible causative factors for BC. Results: Surgical Technique: A CBD to CBD anastomosis was carried out in 49 of the 51 transplants using a T tube (Kher) in the first 15 transplants. A Roux-en-Y Choledocojejunostomy was carried out in 2/51 transplants (1 billiary atresia, 1 sclerosing cholangitis). There where 8 billiary complications in the 51 HT (16%).

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2010-06-01   |   746 visitas   |   Evalua este artículo 0 valoraciones

Vol. 9 Núm.2. Abril-Junio 2010 Pags. 225-246 Ann Hepatol 2010; 9(2)