Scienceline Publications Journal of Life Science and Biomedicine 2251-9939 7 3 2017 May Prospects of Reconstructive and Restorative Surgery of Extrahepatic Biliary Tracts 31 36 https://jlsb.science-line.com/attachments/article/54/J.%20Life%20Sci.%20Biomed.%207(3)%2031-36,%202017.pdf EN Feruz GNazirov Nazirov Republican specialized center of surgery named after academician V. Vakhidov. Tashkent. Uzbekistan. Mirshavkat M Akbarov Republican specialized center of surgery named after academician V. Vakhidov. Tashkent. Uzbekistan. Rustam R. Saatov Tashkent Institute of Postgraduate Medical Education. Tashkent. Uzbekistan. Uktam N.Turakulov Republican specialized center of surgery named after academician V. Vakhidov. Tashkent. Uzbekistan Tashkent Institute of Postgraduate Medical Education. Tashkent. Uzbekistan. Gallstone disease morbidity, as well as improving biliary tract surgery have led to a significant increase in the amount of surgical interventions in patients with biliary disorders. Since operations on biliary tract today are performed in almost all hospitals by differently-skilled surgeons, this leads to an increased frequency of various complications, including iatrogenic injuries, which are responsible for the formation of cicatricial strictures of extrahepatic bile ducts. The leading hepatology centers continue to accumulate the new clinical data on the treatment of patients with bile duct strictures, continuously and critically reinterpreting views on key issues of this problem. Restoring the adequate bile secretion is a great difficulty. We used classifications proposed by some researchers such as Bismuth, Ratchik and Galperin to review and discuss six key surgical problems of hepatobiliary tract. The main causes of the difficulty are gross violations of topographic and anatomical relationships and commissural processes at the gates of the liver, severe general condition of patients caused by prolonged mechanical jaundice and recurrent purulent cholangitis. A growing interest is arisen by non-invasive methods of restoration by endoscopic interventions. Application of endoscopic methods allows preparing patients for the upcoming scheduled or deferred surgical interventions. In most cases the above endoscopic interventions may be an alternative to surgical interventions. Despite the introduction of high-tech, minimum-invasive diagnostic and treatment methods, the progress in reconstructive surgery of the biliary tract, only long-term results analyses can provide an objective assessment of the correctness of the chosen direction. Bille Duct Injuries Bille Duct Restorative Surgery Non-Invasive Methods of Restoration