Gallengangsprobleme in der Leberchirurgie und Lebertransplantation

Despite advanced surgical techniques and improved perioperative intensive medical care of the patients, including immunosuppressive therapy, bile duct complications remain a profound clinical problem in liver surgery and liver transplantation, associated to extensive morbidity and mortality. Although, postoperative leakages are significant in liver surgery, bile duct stenosis remains a major problem after liver transplantation. Due to the development of various different methods of segmental liver transplantation, the spectrum of biliary complications has been significantly enhanced. Crucial for the prognosis is the early diagnosis and therapy of bile duct complications, and a prerequisite for a long-term therapeutical success is the interdisciplinary collaboration between the surgeons, endoscopists and radiologists.