Evidence of Liver Transplantation
Conditions
Keywords
Bile duct anastomosis, Biliary complications
Brief summary
The purpose of this study was to compare the incidence and severity of biliary complications due to liver transplantation after choledochocholedochostomy with or without a T-tube. A per-protocol analysis was designed for recipients of orthotopic liver transplantation in a single center, who were randomly assigned to choledochocholedochostomy with or without a T-tube. It is a prospective and randomized study.
Interventions
In the anastomosis between the common bile duct of the graft and the common bile duct of the recipient, a tutorial T-tube is inserted in the bile duct lumen and will be removed from the patient on third month postoperatively.
The termino-terminal anastomosis between common bile duct of the graft and common bile duct of the recipient is performed without any T-tube.
Sponsors
Study design
Eligibility
Inclusion criteria
* Recipients of a deceased full-size liver graft * Aged \> 18 years
Exclusion criteria
* Age \< 18 years * Retransplantation * Primary sclerosing cholangitis * Fulminant hepatic failure * Technical need for a hepaticojejunostomy * Splitted graft * Reduced-size graft * More than one organ transplantation * Living donation * Finding of a large difference (twice the size) in common bile duct diameters between the graft and the recipient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| all morbidity related to bile duct | The first year after liver transplantation procedure | All the complications related to bile duct that appear after transplantation will be recorded in both groups. All patients will be followed up for the first 12 months after transplantation. |
Countries
Spain