Effect of the surgical techniques and details around biliary reconstruction process on the biliary complications in orthotopic liver transplantation        HUO Feng, WANG Shao-ping, PU Miao-shui, et al. Department of Hepatobiliary Surgery, Guangzhou General Hospital, Guangzhou Military Area of PLA, Guangzhou 510010 China
Corresponding  author ：HUO Feng, E-mail：gzhuofeng@163.com
Abstract    Objective    To investigate the effect of the surgical techniques and details around biliary reconstruction process on the biliary complications in liver transplantation. Methods    From August 2003 to December 2006 and January 2007 to March 2010 two time periods, group A 74 cases and group B 131 cases each, all 205 cases of liver transplantation fulfilled in Guangzhou General Hospital of PLA were implemented biliary reconstruction with same methods. Some different surgical techniques and details and the rates of the biliary duct complication were compared statistically. Results    The death rates of group A and group B had no difference statistically. But the biliary complication incidence of group A and group B had was 11.0% and 5.3% respectively. The warm ischemia time of group B was shorter than that of group A significantly. There were some differences between two groups, such as the perfusion of the biliary duct, the conservation of blood supply of biliary endings for both donor and recipient, careful bile duct exploration in receptor, and minor tension between the anastomosis of the bile duct. Conclusion    With short warm ischemia time, adequate perfusion of bile duct of the liver donor, conservation of blood supply of biliary endings for both donor and recipient, careful bile duct exploration in receptor and minor tension between the anastomosis of the bile duct are all important factors for improving the quality of biliary reconstruction and reducing biliary complications.