Classification and treatment for iatrogenic bile duct injury: one analyse of 64 cases

Objective To investigate the classification and curative strategy for Iatrogenic bile duct injury. Methods A retrospective survey of 64 patients with iatrogenic bile duct injury from January 1982 to July 2009 was obtained to evaluate the curative effect. Results Open operation accounted for 70.3%(45/64) of iatrogenic bile duct injury, and 29.7%(19/64) occurred in laparoscopic operation. Thirty cases were found during operation, 34 cases were diagnosed after operation. 57.8%(37/64) of iatrogenic injury cases were location in upper common bile duct-hepatic common duct, 12.5%(8/64) were in lower common bile duct, and 29.7%(19/64) of injury were in liver bile duct. Conclusions It is important to control the intrehepatic artery bleeding in iatrogenic intrahepatic bile duct injury. Iatrogenic trauma in the end part of common bile duct complicated with pancrease rupture need to be repaired with pancreaticoduodeno-jejunostomy. It need be emphasized to repair trauma according to individual featurein cases of upper common bile duct-hepatic/common duct injury. Without bile leak, bile duct injure occurred after laparoscopic operation may be safely early repaired. Key words: Intraoperative complications; Surgical injuries; Iatrogenic bile duct injury; Treatment