Abstract
TRAUMATIC or postoperative lacerations of extrahepatic biliary ducts, while uncommon, are an important clinical entity with limited surgical management options. The least invasive technique for treating these lacerations is to place a temporary stent across the site of injury, using either the percutaneous transhepatic or endoscopic approach. The stent provides a low-pressure pathway for bile egress to the bowel, shielding the laceration from chronic biliary leakage and allowing it to heal primarily. Even if primary closure is not achieved, the presence of a stent usually improves the patient's clinical situation and allows surgical repair to be performed on an elective basis.
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