Objective: To diagnosis the type of injury bile duct and management bile duct injuries sustained by laparoscopic cholecystectomy. Methods: Retrospective analyses of the patients undergoing laparoscopic cholecystectomy from 1999 to 5/2011. The authors evaluated the data according to outcome measures, characteristics and treatment results of major bile duct injuries after laparoscopic cholecystectomy. Results: The authors found 12 patients with major bile duct injuries sustained by laparoscopic cholecystectomy. Only 41.7 percent of injuries are recognized during operation. Type of injuries include: Lateral injury of common bile duct were 2 cases, transection of bile duct were 4 cases. Management injuries include: bile duct suture 2 cases (16.7 percent), hepaticojejunostomy 5 cases (41.7 percent), choledochojejunostomy 4 cases (33.3 percent). Conclusion: Common bile duct injury is a rare complication of laparoscopic cholecystectomy (0.54 percent). Immediate recognition and repair are associated with improved outcome. The optimal management depends on the timing of
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