Current Management of Bile Duct Injuries

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Laparoscopic Cholecystectomy

-700,000 cholecystectomies performed each year

-90% performed laparoscopically

Methods 

-Prospective database:

---All patients with a major BDI sustained during LC that were treated at Johns Hopkins Hospital between January 1, 1990 and April 13, 2003 was maintained

-BDI included all transections or lacerations of the CHD, CBD, and major segmental HDs at the porta hepatis

-Cystic duct or gallbladder bed leaks excluded

-Data analyzed with Intercooled Stata