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Key points In general, the higher the cholangiocarcinoma (type 3 and type 4) and the more multifocal the disease/obstruction, the more likely the patient is to require percutaneous therapy/drainage rather than endoscopic drainage. The two chief indications for preoperative biliary…

Management of benign biliary strictures, whether surgical, percutaneous-transhepatic, or by endoscopic means, is difficult. These lesions are formed of cicatricial fibrosis and are recalcitrant to many minimally invasive techniques. They can be a contributing factor to recurrent cholangitis, hepatic segmental…