| 摘要: |
| 肝移植技术已成为临床治疗终末期肝胆疾病的重要手段,但术后常发生胆道并发症,严重影响移植疗效。经内镜处理肝移植术后胆道并发症已成为临床一线的治疗手段,但操作较为困难且繁复。近年来我科采用内镜技术处理肝移植术后胆道并发症患者千余例次,取得一些有益的经验。本文回顾总结了肝移植术后各型胆道并发症的内镜治疗策略、处理方法和技巧,可为进一步指导临床实践并提高疗效提供参考。 |
| 关键词: 内镜逆行胆胰管造影术；肝移植；胆道并发症 支架 |
| DOI：10.3724/SP.J.1008.2013.00235 |
| 投稿时间：2013-01-23修订日期：2013-02-28 |
| 基金项目:上海市科委基金(124119a4500,114119a6600),上海市卫生局基金(XBR2011009). |
|
| Endoscopic management of biliary complications following liver transplantation: strategies and skills |
| PAN Ya-min,HU Bing* |
(Department of Endoscopy, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China
*Corresponding author.) |
| Abstract: |
| Liver transplantation (LT) has become an important treatment for end stage hepatobiliary disorders. However, biliary complications following LT are common and greatly hamper the clinical efficacy. Endoscopic therapy has been the first-line modality for these biliary problems, though technically difficult and complex. We have managed more than 1 000 cases of complications following LT via endoscopic approach. Here we summarized the therapeutic methods and strategies of our center, hoping to provide evidence for better clinical practice. |
| Key words: endoscopic retrograde cholangiopancreatography liver transplantation biliary complications stents |
