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Bile duct injuries (BDI) represent uncommon complications of gallbladder surgery, although they may be due to pancreatic and liver surgery, including liver transplantation. Currently their incidence is very low reaching 0.1% to 0.3% and 0.08% to 0.6% during open and laparoscopic cholecystectomy respectively (1-3). Nevertheless, they can cause severe complications, Bile Peritonitis due to the formation of bile collections or billion, jaundice secondary to partial or complete bile duct stenosis, external biliary fistulas (EBF), cirrhosis, portal hypertension. At worst, all these conditions can evolve to septic shock and death of the patient (4,5), especially if not recognized promptly. Several classification systems have been proposed to adequately describe them over the years to make the best choice regarding the management of each type of lesion. At first, the Bismuth system was the most used way to classify the BDI, even though it was only able to define Original Article

Bile duct injuries management: the experience of a high volume liver surgery centre