As for all major injuries E-2 and beyond Hepatico-jejunostomy ( Hepp & Counnaud type )including both Rt & Lt ductal system has proved to have the best outcome.
Since the nature of bile duct injury is so diverse as well as its time of presentation you can’t have a single approach ie early or late repair. The timing of repair has to be individualized. One can safely conclude that as soon as the injury is recognized or even suspected the case should be referred to an HPB center.
Thanks Dr Parasad.
Comprehensive presentation
You are welcome
As for all major injuries E-2 and beyond Hepatico-jejunostomy ( Hepp & Counnaud type )including both Rt & Lt ductal system has proved to have the best outcome.
Since the nature of bile duct injury is so diverse as well as its time of presentation you can’t have a single approach ie early or late repair. The timing of repair has to be individualized. One can safely conclude that as soon as the injury is recognized or even suspected the case should be referred to an HPB center.
Well said. 😊