Injury to segmental bile ducts. A reappraisal

N. S. Hadjis and L. H. Blumgart
Hepatobiliary Surgical Unit, Royal Postgraduate Medical School, Hammersmith Hospital, London, England.

No principles have so far been applied to the management advocated for injuries to segmental bile ducts. On the basis of experimental data and clinical evidence related to the pathophysiological sequelae of segmental bile duct obstruction, and given the potentially harmful complications of reconstructive surgery in combination with its uncertain outcome, it is suggested that simple ligation of injured segmental ducts is the treatment of choice, irrespective of their size.