Table 2: Therapeutic methods and results of 93 patients with bile duct reconstruction after iatrogenic bile duct injuries.

Primary therapy in the local hospital

Exclusive endoscopic therapy with stent8
Explorative laparotomy +29
and transfer without reconstruction 10
and suture 5
and T-drain 9
and drain 5
Drainage only3
Hemihepatectomy + biliodigestive anastomosis1
E/E reconstruction6
Biliodigestive anastomosis18
No further primary therapy28

Therapy after referral to our centre

Explorative laparotomy and removal of a clip2
Explorative laparotomy and suturing5
Explorative laparotomy and adhesiolysis3
Drainage only1
Hepaticojejunostomy53
Hepaticojejunostomy and reconstruction of a. hep. com1
Right hemihepatectomy only2
Liver segment resection2
Hemihepatectomy with hepaticojejunostomy13
Re-hepaticojejunostomy9
Whipple’s procedure2

Subsequent interventions at our centre

Re-hepaticojejunostomy4
Partial resection of the liver1
Liver transplantation2
Incisional hernia7
Closure of a tracheostoma2
Relaparotomy due to adhesion ileus1

Complications requiring revision

Secondary haemorrhage3
Bileleak7
Anastomotic insufficiency of a hepaticojejunostomy2
Peritonitis4
Duodenal perforation2
Obstruction of the hepatic artery and the portal vein1

Hospital lethality

Primarily injured common hepatic artery followed by sepsis in all cases

Follow-up period

Symptom-free38
Symptoms due to adhesions7
Pain in the region of the scar3
Recurrent cholangitis15