Abstract:

Objective

To prospectively compare the effects of retrograde reperfusion via vena cana on biliary complications after orthotopic liver transplantation (OIT).

Methods

86 cases of transplantation patients who survived more than one year were analyzed retrospectively from October 1999 to October 2007，orthotopic liver transplantation in 36 cases，retrograde reperfusion via caval veins in 50 cases.Biliary complications were observed in the situation.

Results

All patients were followed up for one month to eight years，12 out of 86 cases (13.95%)developed biliary complications. 5 of 36 (14.29%) cases with orthotopic liver transplantation developed bilairy tract complications,two cases developped early biliary complications.another three cases developed advanced biliary complications,they were cured.7 of 50(14%)cases with retrograde reperfusion via vena cana developped bilairy tract complication.Three cases developed early biliary complications,1 cases died of abdominal cavity infection,another two cases were cured.Another 4 cases developed advanced biliary complications,they were cured.The study showed not difference in early biliary complications and advanced biliary complications between the two groups.

Conclusion

Retrograde reperfusion via vena cana does not increased the incidence of bile duct complications after liver transplantation.

Key words: Livertransplantation；Retrogradereperfusion；Biliarycomplication