Iatrogenic lesions of main bile duct

Eighty-six patients operated for stenosis caused by previous iatrogenic lesions of main bile duct over a 13-year period are reported. The incidence of operative lesions of main bile duct is 0.2 to 0.7% and a number of them are caused by surgery on the biliary tract (90%-95%), gastric resection or portacaval shunt. Sixty-five cases were treated by hepaticojejunostomy, 3 by hepaticojejunoduodenostomy and the remaining 18 patients underwent choledochoduodenostomy. Postoperative complications and long term results are also examined.