Abstract:
Objective of study was to systematize the experience of treating benign biliary strictures, analyzing the
complex results.
Materials and methods. The integral prospective and retrospective cohort study analyzed the long-term
results of 203 patients who underwent biliodigestive reconstructions during 1989-2015 years. Patients included
in the research were supervised during 2-5 years: depending on the local anatomic particularities at the moment
of reconstructive surgery, as well the remote clinical-evolutive particularities, using the clinical Terblanche score.
Results. The reconstructive surgical treatment was individual and directly proportional with the level of
biliary strictures with a preference of selection of biliodigestive derivations on jejunal loop a la Roux. The reconstructive treatment of benign biliary strictures, classified according to Bismuth’s classification, included the
following surgical techniques: choledocojejunostomy in 86(42,4%) cases of type I and II strictures; hepaticojejunostomy to 102 (50,2%) patients with type III strictures, and in 15(7,4%) cases of type IV strictures bihepaticojejunostomy was performed. There were determined the following remote results based on the clinical-evolutive
classification: very good / gr. I – in 123 (60,6±4,41%) cases, good / gr. II in 39 (19,2±6,31%) cases, relative satisfactory / gr. III – 18 (8,9±6,91%) cases and unsatisfactory / gr. IV in 23 (11,3±6,75%) cases.
Conclusions. The surgery of election in biliary strictures is hepaticojejunostomy on Roux loop. Analisis of
remote results proved clinical efficiency of reconstructive interventions performed in 88,67% observations.
