Surgical treatment of benign biliary strictures

Objective: Current surgical therapy and literature for the patients with benign biliary stricture were looked over.
Study Design: Three patients with benign biliary stricture, whom sended to our clinic were evaluated due to etiology, stricture level, biochemical findings, surgical treatment and complications. Preoperatively, abdominal ultrasonography, computed tomography, magnetic rezonans cholangiopancreaticografi were applied to all patients.
Results: Bismuth Type-ll bilier stricture were determined in every patients and Roux en Y hepaticojejunostomy with transanastomotic stent were performed. There wasn’t any problem in their controls.
Conclusions: For the treatment of benign biliary stricture, surgical treatment and Roux en Y type hepaticojejunostomy have still gold standard.

Selim safra yolu darlýklarýnda cerrahi tedavi

Amaç: Selim safrcý yolýý darlýðý bulunan hastalarda, güncel cerrahi tedavi yaklaþým ve literatür gözden geçirilmiþtir.
Gereç ve Yöntem: Kliniðimize sevk edilen üç selim safra yolu darlýðý olgusu etyolojik neden, darlýk seviyesi, biyokimyasal tetkikler, cerrahi tedavi ve komplikasyonlar bakýmýndan de¬ðerlendirildi. Tiim hastalara preoperatif batýn ultrasonografi¬si, bilgisayarlý tomografi ve magnetik rezonans kolanjio-pankreatografi yapýldý.
Bulgular: Her üç hastada da Bismuth Tip-ll safra yolu darlý¬ðý. saptandý ve transanastomotik stent üstünden Roux en Y he- patikojejunostomi uygulandý. Hastalarýn kontrollerinde her¬hangi bir problem ile karþýlaþýlmadý.
Sonuç: Selim safra yolu darlýklarýnýn tedavisinde, altýn stan¬dart halen cerrahi yaklaþým ve yapýlan Roux en Y tipi hepati- kojejunostomidir.