Management and Outcome of Patients With Combined Bile Duct and Hepatic Artery Injuries

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Abstract
ACUTE BILE duct injury and subsequent strictures occur most commonly following trauma and cholecystectomy.1 Hepatic duct injury occurring proximal to the cystic duct is primarily an iatrogenic problem associated with cholecystectomy.1,2 The incidence of bile duct injury currently associated with open, laparoscopic, or "mini-cholecystectomy" is unknown. Irrespective of technique, there has always been a finite incidence associated with innumerable factors. Recent information suggests that the estimated incidence in population studies of iatrogenic bile duct injuries has been relatively stable at 1.4 per 1000 cholecystectomies for the past 5 years.3