Results of repeated reconstructive surgery for bile duct strictures following cholecystectomy
Repeated surgery for bile duct strictures is usually associated with signifi cant morbidity, high rate of recurrences. 49 patients appealed for surgical management of biliary strictures. According to the level of primary stricture they were classifi ed as Bismuth type I - 7 (14,3%), type II - 25 (51%), type III - 16 (32,7%), type IV - 1 (2%). Failure of reconstruction was closely associated with severity of primary injury and the type of operation. Good exposure of bile ducts guarantees precise biliodigestive anastomosis precluding recurrence of stricture.