Abstract

Introduction: Iatrogenic bile duct injuries (BDI) complicate about 0.3% open and 0.85% laparoscopic cholecystectomies. Many of these can be managed with endobiliary stenting. However, major BDI (involving transection or laceration of more than 25% of CHD or CBD and causing subsequent biliary strictures) usually requires surgical intervention. Our objective was to evaluate the outcome of Roux-en-Y hepatico-jejunostomy (RYHJ) in major BDI with respect to McDonald grading.

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