Korean J Transplant.  2023 Nov;37(Suppl 1):S89. 10.4285/ATW2023.F-6710.

Biliary complications after living donor right lobe liver transplantation in adults

• Doskhanov M
• Baimakhanov B
• Tileuov S
• Mukazhanov D
• Serikuly Y
• Askeyev B
• Kaniyev S
• Ismatov A
• Skakbayev A
• Aziza K

• KMID: 2551676
• DOI: http://doi.org/10.4285/ATW2023.F-6710

Abstract

Background
Biliary complications are one of the most frequent and serious problems after liver transplantation, that occur from 10% to 40% cases. The aim of this study is to analyze the results of liver transplantation in our center.
Methods
From December 2011 to July 2023, 211 adult liver transplantation was performed at the A.N. Syzganov National Re-search Center. Liver transplantation from a living related donor was performed in 186 patients (88.1%). The right lobe graft was used in 165 (91.1%) cases. Frame drains were used in 85 cases (51.5%) and 80 patients (48.5%) without a frame, respectively.According to the type of bile ducts of a living donor, they were divided into groups A (n=130), B (n=6) and C (n=29).
Results
In the postoperative period, 35 patients (18.8%) developed biliary complications. Five patients (14.2%) had bile leakage, in three patients (60%) it was corrected by percutaneous method for biloma, in two patients (40%) were applied open surgery for biliary peritonitis, in six patients (85.7%) were developed biliary stricture. Endoscopic retrograde cholangiopancreatography with endobiliary stenting was performed in 28 patients with biliary strictures. Magnetic compression was used for two of them and in three cases were used rendezvous method. The effectiveness of endoscopic retrograde cholangiopancreatography was 100% of cases. In three patients, percutaneous transhepatic biliary drainage with antegrade stenting was performed. One re-cipient with a biliary complication was retransplanted from a deceased donor with a positive effect.
Conclusions
Biliary complications in most cases are corrected by minimally invasive methods, which is the main treatment tactic, if it is impossible to carry it out, we conduct open surgery. Improving the correction methods of biliary complications will lead to improved results after liver transplantation.