LIVER-TRANSPLANTATION - REVIEW OF THE LITERATURE .2. VASCULAR AND BILIARY COMPLICATIONS

The first attempted human orthotopic liver transplantation, in 1963, i nvolved a child with biliary atresia, who died on the operating table as a result of uncontrollable coagulopathy. Improvements in immunosupp ression, surgical technique, medical imaging and postoperative care, a s well as more stringent patient selection, have allowed the developme nt of liver transplantation and its universal acceptance as the treatm ent for a variety of liver diseases, The radiologist plays a major rol e in the multidisciplinary transplantation team and must be familiar w ith each stage of orthotopic liver transplantation and its associated complications, In the first article of this series (Can Assoc Radial J 1997;48[3]:171-178), the authors reviewed the anatomic features and c urrent concepts relevant to orthotopic liver transplantation. In this, the second article, they discuss the vascular and biliary complicatio ns of the operation, and the third article will cover the medical comp lications.