Table 2.
Definite management of BDI according to their type.
| Strasberg classification of bile duct injuries (n = 92) | Management | |||||||
|---|---|---|---|---|---|---|---|---|
| Type | Description | Number of patients (%) | Conservative (wait and see) | Drainage | PTC | ERCP | Bile duct repair | Reconstruction |
| Type A | Bile leak from cystic duct stump or the gallbladder bed | 7 | 2 | 1 | 1 | 3 | 0 | 0 |
| Type B | Right segmental duct division where both ends are clipped | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Type C | Right segmental duct division where the hepatic end remains open | 4 | 1 | 1 | 2 | 0 | 0 | 0 |
| Type D | Lateral wall injury to the common bile duct | 18 | 0 | 0 | 3 | 4 | 7 | 4 |
| Type E | Major CBD division/stricture with 5 subdivisions | 63 | 0 | 0 | 0 | 0 | 9 | 54 |
| E1 | Site of CBD division is >2 cm from the bifurcation | 10 | 0 | 0 | 0 | 0 | 4 | 6 |
| E2 | Site of CBD division is <2 cm from the bifurcation | 26 | 0 | 0 | 0 | 0 | 3 | 23 |
| E3 | Site of CBD division is at the bifurcation | 22 | 0 | 0 | 0 | 0 | 2 | 20 |
| E4 | Division or injury to the left, right, or both hepatic ducts | 4 | 0 | 0 | 0 | 0 | 0 | 4 |
| E5 | An injury of a right segmental duct along with a type E3/E4 injury | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
|
| ||||||||
| Total | 92 | 3 | 2 | 6 | 7 | 16 | 58 | |