DOI: 10.36347/sjams.2014.v02i05.082

Pages: 1900-1905

Biliary strictures both benign and malignant, remain one of the most difficult problem encountered by the surgeons. The vast majority of bile duct strictures are iatrogenic and occur mainly as a complication of cholecystectomy, despite greater awareness of the problem and safer techniques of dissection during biliary surgery. Malignant strictures involving the bile ducts remain a major challenge in biliary surgery and may result either from cancers afflicting the ducts, primarily or involving them by extension from the liver, the gallbladder, the pancreas, the papilla of Vater or the duodenum or from adjacent lymph nodes. In our study, this procedure was done in 10 patients (41.7%) where high biliary strictures were found. The surgical management of biliary stricture has reached a level of 66.7% successful outcome in this series due to the selection of an optimum operative procedure and its conduct by following well established principles. Our experience also suggests that an improved operative skill subsequent to greater experience is one of the important determinants of encouraging results.