肝移植术后胆道并发症研究进展

Progress in biliary complications after liver transplantation

肝移植术后胆道并发症(BC)一般指肝移植术后胆道异常导致肝功能恢复异常或胆汁代谢异常情况的统称。近年来,随着内镜技术的不断发展,内窥镜治疗已成为肝移植术后BC的主要治疗方式。BC是评估肝移植术后疗效的重要指标,与术前供肝保存、术中手术操作和术后免疫排斥反应等诸多因素密切相关。本文对近年来肝移植术后BC分类、机制、诊断、预防及治疗进行综述。

Biliary complications(BC)after liver transplantation generally refer to the general term of abnormal recovery of liver function or abnormal bile metabolism caused by abnormal biliary tract after liver transplantation.In recent years,with the continuous development of endoscopic technology,endoscopic therapy has become the mainstream modality for the treatment of biliary complications after liver transplantation.Biliary complications are important indicators for evaluating the efficacy after liver transplantation,and many factors such as donor liver preservation,intraoperative surgical operation and postoperative immune rejection are closely related.In this paper,the classification,mechanism,diagnosis,prevention and treatment of BC after liver transplantation are discussed.