Intra-abdominal fluid collections after liver transplantation

Halliday, KE; Frazer, Christopher; Ormonde, Donald; Bell, Roger; House, A. K.; Reed, W D

doi:10.1111/j.1440-1673.1997.tb00605.x

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…It was therefore used for most of our patients. In analogy to Halliday et al [2], the majority of collections in our study were abscesses which were localized in the liver parenchyma (55.2%). This represents the relatively high proportion of transhepatic approaches (33.8%) in our interventions.…”

Section: Discussionsupporting

confidence: 83%

“…Since the peritoneal reflections around the liver are divided during transplantation [2] extrahepatic fluid can accumulate to other sites as commonly observed in non-transplanted patients [30]. In our collective, extrahepatic lesions were most frequently localized prehepatic, subhepatic and perihepatic next to the liver hilum (29.3.%).…”

Section: Discussionmentioning

confidence: 50%

“…Abdominal fluid collections represent a frequent complication occurring in as many as 76% of cases [2,22,23]. Winston et al [24] identified the complexity of the surgery and the insertion of the transplanted organ into a possibly infected abdomen in patients with a reduced general condition as risk factors at a very early stage.…”

Section: Discussionmentioning

confidence: 99%

“…Liver transplantation is the final therapeutic option for a considerable number of patients suffering from non-malignant and malignant liver diseases [1]. A common complication after surgery is the occurrence of intra-abdominal fluid collections [2]. These primarily consist of hematomas, seromas, bilomas, or lymphoceles [3].…”

Section: Introductionmentioning

confidence: 99%

“…: median (25%-; 75%-quartiles) (range),2 : mean value ± standard deviation (range),3 : numbers (percentage).…”

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Technical and Clinical Outcome of Low-Milliampere CT Fluoroscopy-Guided Percutaneous Drainage Placement in Abdominal Fluid Collections after Liver Transplantation: A 16-Year Retrospective Analysis of 50 Consecutive Patients

Stahl,

Seidensticker,

Arbogast

et al. 2024

Diagnostics

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Purpose: Evaluation of the effectiveness of CT-guided drainage (CTD) placement in managing symptomatic postoperative fluid collections in liver transplant patients. The assessment included technical success, clinical outcomes, and the occurrence of complications during the peri-interventional period. Methods: Analysis spanned the years 2005 to 2020 and involved 91 drain placement sessions in 50 patients using percutaneous transabdominal or transhepatic access. Criteria for technical success (TS) included (a) achieving adequate drainage of the fluid collection and (b) the absence of peri-interventional complications necessitating minor or prolonged hospitalization. Clinical success (CS) was characterized by (a) a reduction or normalization of inflammatory blood parameters within 30 days after CTD placement and (b) the absence of a need for surgical revision within 60 days after the intervention. Inflammatory markers in terms of C-reactive protein (CRP), leukocyte count and interleukin-6, were evaluated. The dose length product (DLP) for various intervention steps was calculated. Results: The TS rate was 93.4%. CS rates were 64.3% for CRP, 77.8% for leukocytes, and 54.5% for interleukin-6. Median time until successful decrease was 5.0 days for CRP and 3.0 days for leukocytes and interleukin-6. Surgical revision was not necessary in 94.0% of the cases. During the second half of the observation period, there was a trend (p = 0.328) towards a lower DLP for the entire intervention procedure (median: years 2013 to 2020: 623.0 mGy·cm vs. years 2005 to 2012: 811.5 mGy·cm). DLP for the CT fluoroscopy component was significantly (p = 0.001) lower in the later period (median: years 2013 to 2020: 31.0 mGy·cm vs. years 2005 to 2012: 80.5 mGy·cm). Conclusions: The TS rate of CT-guided drainage (CTD) placement was notably high. The CS rate ranged from fair to good. The reduction in radiation exposure over time can be attributed to advancements in CT technology and the growing expertise of interventional radiologists.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 50%