Background: Biliary complications are one of the most common and serious problems after liver transplantation, occurring from 10 to 40%. This study reflects the results of the biliary complications of our center. The aim is to analyze the results of biliary complications during liver transplantation in our clinic.
Methods: From December 2011 to April 2024, 279 liver transplantations were performed at the National Research Center named after A.N. Syzganov. Of these, liver transplantations from a living donor was performed in 251 (90.0%) patients: of these, in 203 (80.8%) cases, adult liver transplantation, in 48 (19.2%) cases, pediatric liver transplantation. Of these, the right lobe of the liver was used in 187 (67.0%) patients. All patients, depending on the external biliary drainage of the bile ducts, were divided into 2 groups: with external biliary drainage in 91 (48.7%) patients and without external biliary drainage in 96 (51.3%) patients, respectively.
Results: In the postoperative period after transplantation of the right lobe of the liver from a living donor, biliary complications were observed in 21 (11.3%) patients. In the first group, biliary complications was observed in 8 (4.2%) patients and in the second in 13 (7.0%) patients. Bile leakage were observed in 3 (1.6%) patients: of these, 1 (0.5%) patient was observed in the first group, and 2 (1.0%) patients in the second group. The total number of patients with anastomotic strictures was 18 (9.6%), where 7 (3.7%) patients were observed in the first group and 11 (5.9%) in the second group.
Conclusion: In conclusion, our experience shows that biliary complications is less common in patients with external biliary drainage compared to those without external biliary drainage.