Korean J Hepatobiliary Pancreat Surg.  2014 Aug;18(3):69-72. 10.14701/kjhbps.2014.18.3.69.

Recent classifications of the common bile duct injury

• Chun K

• KMID: 1802216
• DOI: http://doi.org/10.14701/kjhbps.2014.18.3.69

Abstract

Laparoscopic cholecystectomy is now a gold standard treatment modality for gallstone diseases. However, the incidence rate of bile duct injury has not been changed for many years. From initial classification published by Bismuth, there have been many classifications of common bile duct injury. The initial classification, levels and types of bile duct injury, and currently combined vascular injuries are reviewed here.

Keyword

Bile duct injury; Classification; Laparoscopic cholecystectomy

MeSH Terms

Bile Ducts
Bismuth
Cholecystectomy, Laparoscopic
Classification*
Common Bile Duct*
Gallstones
Incidence
Vascular System Injuries
Bismuth

Figure

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  Fig. 1 Strasberg classification.3,22 (A) Bile leak from cystic duct stump or minor biliary radical in gallbladder fossa. (B) Occluded right posterior sectoral duct. (C) Bile leak from divided right posterior sectoral duct. (D) Bile leak from main bile duct without major tissue loss. (E1) Transected main bile duct with a stricture more than 2 cm from the hilus. (E2) Transected main bile duct with a stricture less than 2 cm from the hilus. (E3) Stricture of the hilus with right and left ducts in communication. (E4) Stricture of the hilus with separation of right and left ducts. (E5) Stricture of the main bile duct and the right posterior sectoral duct.

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  Fig. 2 Stewart-Way classification.15

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  Fig. 3 Hannover classification.16

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