Surgical management of iatrogenic bile duct injury

At the Academic Medical Center, 133 patients with a bile duct injury after laparoscopic cholecystectomy were treated between 1991 and April 1998. The management of these patients is discussed in a hepato-pancreato-biliary team consisting of radiologist, gastroenterologists and surgeons. In this paper, a summary of the previously reported AMC experience is presented in combination with a reflection of the findings in the literature concerning incidence, aetiology, symptoms, classification, diagnosis and treatment of iatrogenic bile duct injury after laparoscopic cholecystectomy.