[Surgical approach to benign bile duct alterations].

Area of Science:

• Gastroenterology and Hepatobiliary Surgery

Background:

• Benign biliary diseases present diverse etiologies with similar symptoms.
• Conditions include obstructions (stones, tumors, parasites), stenoses, and cystic alterations affecting bile ducts.

Purpose of the Study:

• To systematically review indications for benign biliary disease treatment.
• To provide an overview of differential surgical treatment strategies.

Main Methods:

• Recommendations based on national/international guidelines.
• Inclusion of current scientific literature and expert opinions.

Main Results:

• Surgical options include revision, bilioenteric anastomosis, resection, and liver transplantation.
• Treatment escalation depends on lesion location, symptoms, disease progression, and malignancy suspicion.

Conclusions:

• Effective treatment ensures unimpaired bile drainage, resolving cholestasis and preventing complications.
• Management may involve cancer-like resections for premalignant bile duct lesions.