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Reoperation for biliary strictures.

J J Roslyn·R K Tompkins
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Abstract

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.

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BibTeXRIS

J J Roslyn, R K Tompkins. 1991. Reoperation for biliary strictures.. https://doi.org/10.1016/s0039-6109(16)45336-3

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