Reoperation for biliary strictures.
Benign bile duct strictures most often follow intraoperative injury not recognized until later. The ideal reconstruction entails a mucosa-to-mucosa anastomosis without tension, usually with a stent tube to maintain patency in the immediate postoperative period. The mortality rate for reoperation and bile duct reconstruction in patients who are not cirrhotic is approximately 2%, and success rates average 85%. Prevention of operative injuries by the use of cholangiography, careful dissection, and removal of the gallbladder from the fundus downward is the best treatment.
Roslyn
J J
JJ
Department of Surgery, UCLA School of Medicine.
Tompkins
R K
RK
D001652:Bile Ducts / Q000293:injuries; D002763:Cholecystectomy / Q000009:adverse effects*; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans