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Impact of Biliary Complications and Early Liver Function after Liver Transplantation with or Without T-Tube

Author: ZhangGuangFeng
Tutor: LiDeWei
School: Chongqing Medical University
Course: Hepatobiliary Surgery
Keywords: liver transplantation Biliary complications earlyliver function T-tube
CLC: R657.3
Type: Master's thesis
Year: 2012
Downloads: 24
Quote: 0
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Abstract


Objective To explore The influence of biliary complications and earlyliver function after liver transplantation with or without T-tube.Methods59patients who took liver transplantation wereretrospectively analyzed. They were divided into2groups based on usingT-tube or not, T-tube group with27patients, no T-tube group with32patients. Compare biliary complications after liver transplantation,and theALT, AST, TBIL and DBIL levels of the preoperative and the1stto the5thday、10thand20thday after the operation respectively of the two groups.Results The incidence of overall biliary complications、 biliarystrictures and biliary calculi on no T-tube group was18.8%(6/32)、15.6%(5/32)and6%(2/32),which was higher than14.8%(4/27)、0(0/27)and0(0/27) on T-tube group. However,the differences between twogroups were not significant. The rate of infection of biliary tract and bileleak on no T-tube group was9.4%(3/32)and3.1%(1/32),which waslower than14.8(4/27) and7.4(2/27) on T-tube group, but had nosignificant statistical differences either. The four liver function indicators preoperative of the two groups stay a similar level and have no significantstatistical differences. ALT, AST levels decreased fast in the early stage ofthe postoperative, there’s no significant statistical differences between twogroups; The TBIL, DBIL level did not change significantly in the earlystage of the postoperative, but The mean levels of TBIL, DBIL in noT-tube group were less than T-tube group in these7days. TBIL levels ofthe2group get statistically significant in the3rd、4th、5th、10th、20thdays(P<0.05).DBIL levels of the2group had statistically significant in all the7days(P<0.05).Conclusion No T-tube or T-tube have no statistical disparity onbiliary complications after liver transplantation. Not keeping T-tube isbetter than keeping T-tube on the early postoperative recovery of liverfunction.

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CLC: > Medicine, health > Surgery > Of surgery > Abdominal surgery > Liver and liver tube
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