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Abdominal drainage systems in modified piggyback orthotopic liver transplantation |
Rui Tang a , Li-Han Yu a , Jun-Wei Han a , b , Jing-Yi Lin a , Jin-Jie An a , Qian Lu a , ∗ |
a Hepatopancreatobiliary Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Institute for Precision Medicine, Tsinghua University,
Beijing 102218, China
b Department of Hepatopancreatobiliary Surgery, Affiliated Hospital of Qinghai University, Xining 810001, China
∗ Corresponding author.
E-mail address: luqian_lt@163.com (Q. Lu). |
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Abstract Whether orthotopic liver transplantation requires the placement of an abdominal drainage system is a controversial topic. A number of studies have suggested that prophylactic placement of abdominal drainage systems do not improve the diagnostic rate of complications such as bile leakage and hemorrhage after liver transplantation, even increased the risk of infection [1–3] . However, there is no uniform standard for the selection of drainage tube and how to place the drainage tube in orthotopic liver transplantation. The types and placement modes of the drainage tubes used in each center are different. If adequate drainage is not possible, it may affect the drainage efficiency, which may lead to the misunderstanding that “it is unnecessary to place the drainage tube”. Herein we aimed to explore the most efficient abdominal drainage in modified piggyback orthotopic liver transplantation, based on the types and placement modes of drainage tubes in our clinical practice.
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