3. The Treatment Of Anastomotic Strictures After Live-Donor Liver Transplantation

Authors

  • Y.B. Abdirashev JSC “National Scientific center of surgery named after A.N. Syzganov” Almaty, Kazakhstan
  • N.M. Abdiyev JSC “National Scientific center of surgery named after A.N. Syzganov” Almaty, Kazakhstan
  • M.O. Doskhanov JSC “National Scientific center of surgery named after A.N. Syzganov” Almaty, Kazakhstan
  • A.S. Skakbayev JSC “National Scientific center of surgery named after A.N. Syzganov” Almaty, Kazakhstan
  • A.M. Basymbekov The emergency hospital of Almaty, Kazakhstan

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Abstract

Liver transplantation is the only treatment for the decompensated level of cirrhosis. Due to improvement of the surgery methodology and management of patients, the survival rate of patients up to 1 year is 90%, and 5-year to 80%. However, post-transplantation complications remain the main cause of recipient morbid-ity and mortality. The basic reasons for the development of strictures of the bile duct after transplantation depends on: 1. The type of transplant. 2. The number and type of bile ducts carried out for the application of anastomoses, in particular liver transplantation from a living donor. 3. Type of anastomosis (biliary-biliary or choledochojejunoanastomosis). Most complications after surgery are diagnosed after live-donor liver transplantation. Since the transplant is one of the lobes with ducts of smaller diameter. Given the above, the complications of the biliary duct system after transplantation from a cadaveric donor is 5-15%, and after live-donor it reaches up to 38%. Including, when taking the right lobe of the liver in living donors, the percentage of complications varies from 24% to 60%.

Keywords

ЭРХПГ, трансплантация печени, биллиарные осложнения, биллиарная анастомотическая стриктура, билио-биллиарный анастомоз, ТПЖД, эндобил-лиарное протезирование

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Published

2020-07-01

Issue

No. 2 (2020)

Section

Статьи