TY - JOUR T1 - OPerative repair of bile duct injuries involving the hepatic duct confluence AU - Jarnagin WR, Blumgart LH Y1 - 1999/07/01 N1 - 10.1001/archsurg.134.7.769 JO - Archives of Surgery SP - 769 EP - 775 VL - 134 IS - 7 N2 - 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. SN - 0004-0010 M3 - doi: 10.1001/archsurg.134.7.769 UR - http://dx.doi.org/10.1001/archsurg.134.7.769 ER -