Biliary complications after liver transplantation

Aim. To identify the risk factors for biliary complications after liver transplantation.
Materials and methods. From December 2011 to September 2017, 85 adult patients underwent liver transplantation. Living donor liver transplantation was performed in 68 (80%) patients, deceased donor liver transplantation was performed in 17 (20%). Whole liver transplantation was performed in 17 (20%), right liver lobe transplantation – 60 (70.6%), left liver lobe – 7 (8.2%), posterior-lateral sector – 1 (1.2%).
Results. Duct to duct anastomosis was performed in 76 (89.4%) recipients, 13 (17.1%) of them developed biliary complications. Double duct-to-duct anastomosis was performed in 5 (5.9%); biliary complications occurred in 3 (60%) of them. Cholangiojejunal biliary Roux-en-Y anastomosis was performed in 2 (2.4%) patients, there were no complications. Combined biliary reconstruction (Duct-to-duct and cholangiojejunal biliary Roux-en-Y anastomosis) was performed in 2 (2.4%), of which 1 (50%) had a stricture of cholangiojejunostomy.
Conclusion. Preoperative and intraoperative examinations of the bile ducts contribute to plan the type of biliary reconstruction. Biliary splinting in duct-to-duct anastomosis reduces the incidence of biliary complications.

liver, transplantation, donor, recipient, biliary complication, duct-to-duct biliary anastomosis, cholangiojejunal anastomosis

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