Biliary Complications in Relation to the Technique of Biliary Reconstruction in Adult Liver Transplant Recipients

Alsharabi, A.; Zieniewicz, Krzysztof; Michałowicz, B; Patkowski, Waldemar; Nyckowski, P; Wróblewski, Tadeusz; Grzelak, I; Paluszkiewicz, Rafał; Hevelke, Piotr; Remiszewski, Piotr; Cieślak, Bartosz; Kornasiewicz, Oskar; Kotulski, Marcin; Skwarek, Anna; Urban, Marian; Sańko-Resmer, Joanna; Krawczyk, Marek

doi:10.1016/j.transproceed.2007.09.017

Cited by 14 publications

(15 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(1, 2, 4-26) 19 studies reported rates of bile leak, and 21 studies reported rates of bile stricture. The estimated mean incidence of biliary leak and stricture for all studies combined was 0.079 (95% CI = 0.055 to 0.107) and 0.125 (95% CI = 0.099 to 0.154) respectively.…”

Section: Resultsmentioning

confidence: 99%

A meta-analysis of complications following deceased donor liver transplant

McElroy¹,

Daud²,

Davis³

et al. 2014

The American Journal of Surgery

View full text Add to dashboard Cite

Background Liver transplantation is a complex surgery associated with high rates of postoperative complications. While national outcomes data are available, national rates of most complications are unknown. Data Sources A systematic review of the literature reporting rates of postoperative complications between 2002 and 2012 was performed. A cohort of 29,227 deceased donor liver transplant recipients from 74 studies was used to calculate pooled incidences were for 17 major postoperative complications. Conclusions This is the first comprehensive review of postoperative complications after liver transplantation and can serve as a guide for transplant and non-transplant clinicians. Efforts to collect national data on complications, such as through the National Surgical Quality Improvement Program, would improve the ability to provide patients with informed consent, serve as a tool for individual center performance monitoring, and provide a central source against which to measure interventions aimed at improving patient care.

show abstract

Section: Resultsmentioning

confidence: 99%

A meta-analysis of complications following deceased donor liver transplant

McElroy¹,

Daud²,

Davis³

et al. 2014

The American Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…However, increased MIS experience correlated with lower likelihood of anastomotic leak, again suggesting that more MIS experience is helpful when completion a complex anastomotic task. Transplantation literature has shown the morbidity of biliary leak to be substantial [15][16][17], therefore an improvement in performance, or a more accurate assessment of leak than a provocative test, is required. Another limitation is that our test bed used a nonhuman, bench model.…”

Section: Discussionmentioning

confidence: 99%

Does robotic assistance improve efficiency in performing complex minimally invasive surgical procedures?

et al. 2009

View full text Add to dashboard Cite

da Vinci improves time to completion and quality of choledochojejunostomy over laparoscopy in an ex vivo bench model. This advantage is more pronounced in the hands of surgeons with less MIS experience. Conversely, robotics may allow less experienced surgeons to perform more complex operations without first developing advanced laparoscopic skills; however, there may be benefit to first obtaining fundamental skills.

show abstract

“…1 Stented patients had a higher adjusted risk of needing multiple ERCPs over time and endoscopic procedures in the first 90 days post-transplant. 12 In contrast, other studies favour internal stenting although no comparisons to non-stented groups were made. 11,12 It was reported that most of the biliary complications found were related to the stent itself and that avoidance of this method would significantly reduce the incidence of biliary complications.…”

Section: Discussionmentioning

confidence: 99%

“…10 Mathur et al also demonstrated that stenting using internal feeding tubes was associated with greater morbidity. 11,12 It was reported that most of the biliary complications found were related to the stent itself and that avoidance of this method would significantly reduce the incidence of biliary complications. 1 Verran et al and Alsharabi et al also found that internal biliary drainage was not required in liver transplantation.…”

Section: Discussionmentioning

confidence: 99%