Resultados del tratamiento quirúrgico de las estenosis posoperatorias de la via biliar principal. / [Results of the surgical treatment of postoperative stenosis of the main bile duct]

ABSTRACT

Between January 1964 and January 1986, 28 patients with postoperative biliary stenosis were studied and operated. The left hepatic duct were anastomosed with an Y-Roux limb of jejunum in 23 cases; in one case was realized a bi-hepatic jejunostomy and in remaining 4 cases were treated with the Rodney Smiths operation. In the surgical repair of the biliary stenosis the best techniques is the hepato-jejunostomy anastomose described for Hepp in 1954. The very high hepatic stricture may present an almost insoluble problem and the [quot ]mucosal graft[quot ] of Rodney Smith is the optative operation. The results of the present series is good in the 92.8