RT Journal
A1 Jarnagin WR, Blumgart LH
T1 OPerative repair of bile duct injuries involving the hepatic duct confluence
JF Archives of Surgery
JO Archives of Surgery
YR 1999
FD July 1
VO 134
IS 7
SP 769
OP 775
DO 10.1001/archsurg.134.7.769
UL http://dx.doi.org/10.1001/archsurg.134.7.769
AB Injuries at the hepatic duct confluence present the surgeon with a technically demanding repair, often combined with life-threatening sequelae such as sepsis and portal hypertension. Moreover, the possibility of litigation is ever present, even for those not responsible for the initial injury. In this review, we discuss the approach to patients with proximal bile duct injuries, with emphasis on preoperative evaluation and the technical aspects of biliary reconstruction.