Risk factors for biliary complications after liver transplantation

Donor-related factors - Transplanted liver from a living donor or a donation after cardiac death (DCD) donor; older age of donor; high donor body mass index; macrovesicular graft steatosis >25%

Recipient-related factors - History of primary sclerosing cholangitis, cytomegalovirus infection

Vascular factors - Hepatic artery thrombosis, hepatic artery stenosis

Surgical/technical factors - Excessive dissection of periductal tissue during procurement of the liver graft; excessive use of electrocautery for control of biliary ductal bleeding; tension at the anastomosis; small bile duct diameter of the graft; mismatched size between donor and recipient bile ducts; ischemia/reperfusion injury; prolonged cold and/or warm ischemia times

Postoperative factors - Bile leak

Other factors - ABO incompatibility

Please refer to content on management of biliary complications after liver transplantation in adults.

Courtesy of Andres Cárdenas, MD, MMSc.

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خرید پکیج

Risk factors for biliary complications after liver transplantation