[Injuries of the bile ducts and fundamentals of therapy]

In the submitted paper the authors present an account on 88 patients with reconstructions of the biliary pathways, most frequently after iatrogenic damage. Check-up examinations revealed that the results in patients who survive for prolonged periods and were reoperated in time, unless they developed irreversible liver damage, are very satisfactory. 81.8% of the patients have no subjective complaints and the objective finding (laboratory examination, HIDA) is consistent with the subjective report. In the author's opinion a certain part in these satisfactory long-term results is played by short-term, or if necessary, long-term drainage of the anastomosis. This problem is discussed in detail.