Abstract
Forty-four consecutive stricture repairs by one surgeon with long-term follow-up study are reported. Sutured anastomoses were performed in 39 patients. Essentials of the sutured repair include minimal dissection of the proximal duct, a one-layer anastomosis, mucosa-to-mucosa apposition, and a preference for hepaticojejunostomy with a T-tube stent. Eighty-six per cent of the patients treated by this technique achieved satisfactory results. This technique is the procedure of choice for repair of biliary stricture.
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Selected References
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- Bolton J. S., Braasch J. W., Rossi R. L. Management of benign biliary stricture. Surg Clin North Am. 1980 Apr;60(2):313–332. doi: 10.1016/s0039-6109(16)42083-9. [DOI] [PubMed] [Google Scholar]
- CATTELL R. B., BRAASCH J. W. Long-term follow-up after repair of bile duct strictures. Lahey Clin Bull. 1958 Jan-Mar;10(7):194–199. [PubMed] [Google Scholar]
- Cameron J. L., Gayler B. W., Zuidema G. D. The use of silastic transhepatic stents in benign and malignant biliary strictures. Ann Surg. 1978 Oct;188(4):552–561. doi: 10.1097/00000658-197810000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lord Smith Obstructions of the bile duct. Br J Surg. 1979 Feb;66(2):69–79. doi: 10.1002/bjs.1800660202. [DOI] [PubMed] [Google Scholar]
- Molnar W., Stockum A. E. Transhepatic dilatation of choledochoenterostomy strictures. Radiology. 1978 Oct;129(1):59–64. doi: 10.1148/129.1.59. [DOI] [PubMed] [Google Scholar]
- Northover J. M., Terblanche J. A new look at the arterial supply of the bile duct in man and its surgical implications. Br J Surg. 1979 Jun;66(6):379–384. doi: 10.1002/bjs.1800660603. [DOI] [PubMed] [Google Scholar]
- Pollock T. W., Ring E. R., Oleaga J. A., Freiman D. B., Mullen J. L., Rosato E. F. Percutaneous decompression of benign and malignant biliary obstruction. Arch Surg. 1979 Feb;114(2):148–151. doi: 10.1001/archsurg.1979.01370260038005. [DOI] [PubMed] [Google Scholar]
- Wexler M. J., Smith R. Jejunal mucosal graft: a sutureless technic for repair of high bile duct strictures. Am J Surg. 1975 Feb;129(2):204–211. doi: 10.1016/0002-9610(75)90299-8. [DOI] [PubMed] [Google Scholar]
- Wheeler E. S., Longmire W. P., Jr Repair of benign stricture of the common bile duct by jejunal interposition choledochoduodenostomy. Surg Gynecol Obstet. 1978 Feb;146(2):260–262. [PubMed] [Google Scholar]
