Objective:To compare biliary complications after biliary tract reconstruction with or without T-tube in orthotopic liver transplantation.Methods:Randomized control trials(RCTs) and comparative studies were identified ...Objective:To compare biliary complications after biliary tract reconstruction with or without T-tube in orthotopic liver transplantation.Methods:Randomized control trials(RCTs) and comparative studies were identified by a computerized literature search of the Cochrane Library,MEDLINE(1966/1-2010/4),Scopus(1980/1-2010/4),ClinicalTrials.gov(2010/4),the Cochrane Hepato-Biliary Group Controlled Trials Register,and the Cochrane Central Register of Controlled Trials.Studies and data were extracted and assessed independently.Dichotomous outcomes were reported as odds ratios(ORs) and weighted mean difference with 95% confidence intervals(CI).Results:Five RCTs and eight comparative studies with a total of 1 608 subjects were identified.The data showed that the operation with T-tube had better outcomes for duct stenosis(P=0.01,OR=0.45,95% CI 0.24-0.85).The operations with or without T-tube had equivalent outcomes as follows:overall biliary complications(P=0.85,OR=1.15,95% CI 0.28-4.72),bile leaks(P=0.38,OR=0.75,95% CI 0.39-1.42),and cholangitis(P=0.24,OR=4.64,95% CI 0.36-60.62).These results were strengthened by the analysis of all thirteen non-randomized and randomized studies.Conclusions:Our systematic review and meta-analysis suggest that the insertion of a T-tube reduces the incidence of biliary stenosis without increasing the incidence of other biliary complications.展开更多
Aim: To explore the techniques of reconstruc-tions and drainage of biliary tract in the clinical living relat-ed partial liver transplantation. Methods: Ten cases of patients received clinical living related partial l...Aim: To explore the techniques of reconstruc-tions and drainage of biliary tract in the clinical living relat-ed partial liver transplantation. Methods: Ten cases of patients received clinical living related partial liver transplantation were presented. The methods and traits of reconstructions and drainage of binary tract in the operation were introduced. Results: All of 10 cases were performed with lefthepatocholangiojejunostomy of Roux-Y, six of them wereinstalled with binary introudrain ducts, one with biliary ex-tro-drain duct, and the rest 3 cases without any drain ducts.The whole group recovered satisfactorily. Conclusion: Left-hepatocholangiojejunostomy of Roux-Yis the main methodof reconstructions of biliary duct in clinical living relatedpartial liver transplantation. The method of installing bil-iary extro-drain ducts may not be adopted by experiencedoperators.展开更多
文摘Objective:To compare biliary complications after biliary tract reconstruction with or without T-tube in orthotopic liver transplantation.Methods:Randomized control trials(RCTs) and comparative studies were identified by a computerized literature search of the Cochrane Library,MEDLINE(1966/1-2010/4),Scopus(1980/1-2010/4),ClinicalTrials.gov(2010/4),the Cochrane Hepato-Biliary Group Controlled Trials Register,and the Cochrane Central Register of Controlled Trials.Studies and data were extracted and assessed independently.Dichotomous outcomes were reported as odds ratios(ORs) and weighted mean difference with 95% confidence intervals(CI).Results:Five RCTs and eight comparative studies with a total of 1 608 subjects were identified.The data showed that the operation with T-tube had better outcomes for duct stenosis(P=0.01,OR=0.45,95% CI 0.24-0.85).The operations with or without T-tube had equivalent outcomes as follows:overall biliary complications(P=0.85,OR=1.15,95% CI 0.28-4.72),bile leaks(P=0.38,OR=0.75,95% CI 0.39-1.42),and cholangitis(P=0.24,OR=4.64,95% CI 0.36-60.62).These results were strengthened by the analysis of all thirteen non-randomized and randomized studies.Conclusions:Our systematic review and meta-analysis suggest that the insertion of a T-tube reduces the incidence of biliary stenosis without increasing the incidence of other biliary complications.
文摘Aim: To explore the techniques of reconstruc-tions and drainage of biliary tract in the clinical living relat-ed partial liver transplantation. Methods: Ten cases of patients received clinical living related partial liver transplantation were presented. The methods and traits of reconstructions and drainage of binary tract in the operation were introduced. Results: All of 10 cases were performed with lefthepatocholangiojejunostomy of Roux-Y, six of them wereinstalled with binary introudrain ducts, one with biliary ex-tro-drain duct, and the rest 3 cases without any drain ducts.The whole group recovered satisfactorily. Conclusion: Left-hepatocholangiojejunostomy of Roux-Yis the main methodof reconstructions of biliary duct in clinical living relatedpartial liver transplantation. The method of installing bil-iary extro-drain ducts may not be adopted by experiencedoperators.
