bile duct injury

Question 1

What is the class of injury?

Answer 1

Strasberg A

cystic duct leak or leaks from small ducts in liver bed

Question 2

What is the class of injury?

Answer 2

Strasberg B

Occlusion of an aberrant RHD

Question 3

What is the class of injury?

Answer 3

Strasberg C

Leak from an aberrant RHD

Question 4

What is the class of injury?

Answer 4

Strasberg D

Lateral injury to CBD that is 50% or less of circumference

Question 5

What is the class of injury?

Answer 5

Bismuth Type I

E1

CHD stricture, stump > 2 cm

Question 6

What is the class of injury?

< 2 cm

Answer 6

Bismuth Type II

E2

CHD stricture, stump < 2 cm

Question 7

What is the class of injury?

Answer 7

Bismuth Type III

E3

Hilar stricture with preserved biliary confluance

Question 8

What is the class of injury?

Answer 8

Bismuth Type IV

E4

Hilar stricture with involvement of confluence

Question 9

What is the class of injury?

Answer 9

Bismuth V

E5

Stricture to an aberrant RHD and to CHD

Question 10

When can you ligate a biliary duct injury?

Question 11

When can you repair a bile duct injury over a T-tube?

Question 12

When can you repair a bile duct injury with an end to end repair and transanastomotic t-tube?

Question 13

When can you repair a bile duct injury with a hepaticojejunostomy?

Question 14

What is the initial intervention for a bile duct injury?

Answer 14

ERCP with stenting

or

Endoscopic dilation

Do surgery last