Abstract
To begin with, one should attempt a bloodless operational procedure (interventional radiology). An operative procedure can be considered to result when a guide wire is not passed through the stricture or accessed through a fistula. As for surgical method, the best option is a physiologic bile duct-bile duct anastomosis, while a bile duct-jejunum anastomosis should be the final option, and ought not to be readily adopted. As for measures to prevent the recurrence of the stricture, superior surgical technique is the most important factor, with the duration of the detention of the splint tube and perfect timing of the tube control being important; a longitudinal hepatic insertion of the tube is also more effective than an insertion into the left hepatic duct.
