Trattamento delle lesioni iatrogene maggioridella via biliare

The appropriate treatment of major bile duct injuries is mandatory in order to avoid serious complica- tions, such as bile peritonitis or secondary biliary liver cirrhosis. In the last fourthy years, surgical, endoscopic or radiologic techniques of cure have been proposed, but in our opinions, the preferred option is given by Roux-en-Y choledochojejunostomy or hepaticojejunostomy. Creating an anastomosis on narrow bile duct could be difficult; in the- se really rare cases, the jejunal loop could be secured by a second suture to the hilar plate with satisfactory long-term results.