Table 3.
Kind of Primary Bile Duct Reconstruction Used in 82 Consecutive Cases of Orthotopic Liver Transplantation
| Cholecystoduo- denostomy |
Choledochocho- ledochostomy |
Roux-en-Y Cholecystoje- junostomy |
Choledochoduo- denostomy |
Cholecysto- Loop Jejunostomy |
Totol | |
|---|---|---|---|---|---|---|
| Number | 59 | 9 | 8 | 4 | 2 | 82 |
| Obstruction | 15 | 0 | 2 | 0 | 0 | 17* |
| Fistula | 2 | 5 | 0 | 1 | 0 | 8* |
*
In these 25 cases, reoperations were performed in 13 patients with attempt at duct reconstruction. A satisfactory recovery followed in only 4 of the recipients. Two later died after 6 and 13½ months post-transplantation survival. The other 2 are alive after 3 months and 2 years, respectively. Both survivors now have the final biliary duct reconstruction shown in Fig. 2C.