A Technique of Biliary Tract Reconstruction with Complete Follow-up in 44 Consecutive Cases

Abstract
Consecutive stricture repairs (44) by 1 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 1-layer anastomosis, mucosa-to-mucosa apposition and a preference for hepaticojejunostomy with a T-tube stent. Of the patients treated by this technique, 86% achieved satisfactory results. This technique is the procedure of choice for repair of biliary stricture.