Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association), 7(63), p. 1769-1772
DOI: 10.3919/jjsa.63.1769
Benign bile duct strictures occurring in 3% to 5% of patients after major hepatic resection are difficult to treat. We report a case of bile duct stricture after right hepatectomy treated with an expandable metallic stent. A 69-year-old man underwent right hepatectomy for hepatocellular carcinoma. Twelve months after hepatectomy, obstructive jaundice appeared and bile duct stricuture was pointed out. From abdominal computed tomography, endoscopic retrograde cholangiography and perctaneous transheic biliary drainage indicated the stricture was probably due toliver rotation associated with hepatic regeneration. The stricture was dilated with a biliary balloon dilator and a plastic stent tube was placed through the stricture for six months. When the stent tube was removed, obstructive jaundice re-appeared. An expandable metallic stent was then used to dilate the stricture, with no recurrence of obstructive jaundice or cholangitis in the ensuing fifteen months suggesting that dilation using an expandable metallic stent is useful in treating benign strictures after hepatectomy.