Casal M A
Acta Gastroenterol Latinoam. 1990;20(4):193-9.
Between January 1964 and January 1986, 28 patients with postoperative biliary stenosis were studied and operated. The left hepatic duct were anastomosed with an Y-Roux limb of jejunum in 23 cases; in one case was realized a bi-hepatic jejunostomy and in remaining 4 cases were treated with the Rodney Smith's operation. In the surgical repair of the biliary stenosis the best techniques is the hepato-jejunostomy anastomose described for Hepp in 1954. The very high hepatic stricture may present an almost insoluble problem and the "mucosal graft" of Rodney Smith is the optative operation. The results of the present series is good in the 92.8% of the cases.