Commentary: Operative Repair of Common Bile Duct Injury

Abstract

Iatrogenic bile duct injury (BDI) can occur in any surgical procedure performed in the upper abdomen, but cholecystectomy remains the leading cause of these injuries. Still an unsolved problem of laparoscopic cholecystectomy, BDI occurs with an unacceptable frequency even in the hands of experienced surgeons and remains a matter of concern despite substantial experience accumulated with the operative repair. The chapter by Mole D and Garden J provides a broad overview of the mechanisms, diagnosis, management, and outcome of the different types of BDI. The authors also propose a practical approach for the management of BDI.