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A Reappraisal

Nicholas S. Hadjis, FRCS; Leslie H. Blumgart, FRCS

Arch Surg. 1988;123(3):351-353.

Abstract
• 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.

(Arch Surg 1988;123:351-353)

Author Affiliations
From the Hepatobiliary Surgical Unit, Royal Postgraduate Medical School, Hammersmith Hospital, London.

Footnotes
Accepted for publication Sept 15, 1986.

Reprint requests to Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, Du Cane Road, London, England W12 OHS (Dr Hadjis).

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