Surgical treatment for benign biliary strictures
| dc.contributor.author | Cui, Naiqiang | |
| dc.contributor.author | Cui, Yunfeng | |
| dc.contributor.author | Li, Zhonglian | |
| dc.contributor.author | Zhang, Hongtao | |
| dc.date.accessioned | 2012-11-15T14:01:39Z | |
| dc.date.available | 2012-11-15T14:01:39Z | |
| dc.date.issued | 2012-11-15 | |
| dc.description.abstract | Objectives: In order to describe treatment options for postoperative benign biliary strictures and find a proper approach for treatment, we describe the presentation and management of postoperative biliary stricture in 64 patients. Methods: Demographical and clinical data from 64 patients undergoing surgical reconstructions by retrospective methods during the past 6 years were analyzed. Clinical features of Grade I and II group versus Grade III and IV group and bile duct plasty versus biliojejunostomy were compared. Results: Of the 64 patients, 21 received bile duct plasty and the other 43 underwent biliojejunostomy. Patients with bigger bile duct dilatation had better outcomes than those with smaller one, P=0.0372. Hepaticojejunostomy was correlated to better outcomes than other surgical procedures, P=0.0483. Bile duct plasty was related to Bismuth classification Type I, P=0.0001. But biliojejunostomy was related to Bismuth classification Type II, P=0.0001 and Type III, P=0.0059. Patients with bigger bile duct dilatation had more biliojejunostomy than those with smaller one, P=0.0001. Conclusion: Both biliojejunostomy and bile duct plasty had good treatment outcomes. Bile duct plasty should be confined to patients with a degree of bile duct dilatation less than 1.5 cm and Bismuth classification (Type I). The degree of dilatation, hepaticojejunostomy and postoperative morbidity were factors statistically correlated to long term outcomes. | en |
| dc.identifier.issn | 1611-2156 | |
| dc.identifier.uri | http://hdl.handle.net/2003/29757 | |
| dc.identifier.uri | http://dx.doi.org/10.17877/DE290R-4901 | |
| dc.language.iso | en | de |
| dc.relation.ispartofseries | EXCLI Journal ; Vol. 11, 2012 | en |
| dc.subject | benign biliary strictures | en |
| dc.subject | bile duct plasty | en |
| dc.subject | biliojejunostomy | en |
| dc.subject | long term outcome | en |
| dc.subject.ddc | 610 | |
| dc.title | Surgical treatment for benign biliary strictures | en |
| dc.title.alternative | single-center experience on 64 cases | en |
| dc.type | Text | de |
| dc.type.publicationtype | article | de |
| dcterms.accessRights | open access | |
| eldorado.dnb.zdberstkatid | 2132560-1 |