Description

Bismuth described the types of biliary duct strictures that may occur after cholecystectomy.


Location of Stricture

Additional Features

Type

common bile duct

stump >= 2 cm (low)

1

common bile duct

stump < 2 cm (proximal)

2

hilar confluence patent with no residual common bile duct

left and right hepatic ducts communicate

3

hilar confluence obstructed with no communication to the common bile duct

left and right hepatic ducts do not communicate

4

aberrant right sectoral hepatic duct

with or without stricture of the common bile duct

5

 


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