Citation, DOI, disclosures and article data
Citation:
Gajera J, Abdeldjalil B, Knipe H, Strasberg classification of bile duct injury. Reference article, Radiopaedia.org (Accessed on 29 Mar 2024) https://radiopaedia.org/articles/78202?iframe=true
The Strasberg classification of bile duct injury is a widely used system to anatomically define these injuries by location 1.
Classification
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type A: injury to the cystic duct or from minor hepatic ducts draining the liver bed
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type B: occlusion of the biliary tree, commonly aberrant right hepatic duct(s)
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type C: transection without ligation of aberrant right hepatic duct(s)
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type D: lateral injury to a major bile duct
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type E: injury to the main hepatic duct; classified according to the level of injury
- E1 (Bismuth type 1): injury more than 2 cm from the confluence
- E2 (Bismuth type 2): injury less than 2 cm from the confluence
- E3 (Bismuth type 3): injury at the confluence; confluence intact
- E4 (Bismuth type 4): destruction of the biliary confluence
- E5 (Bismuth type 5): injury to the aberrant right hepatic duct
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1. Strasberg S, Strasberg HM, Strasberg SN, Strasberg. An Analysis of the Problem of Biliary Injury During Laparoscopic Cholecystectomy. (1995) Journal of the American College of Surgeons. doi: - Pubmed
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2. Bernhard W. Renz, Florian Bösch, Martin K. Angele. Bile Duct Injury after Cholecystectomy: Surgical Therapy. (2020) Visceral Medicine. 33 (3): 184. doi:10.1159/000471818 - Pubmed
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3. Hariharan D, Hariharan PE, Hariharan SJ, Hariharan LD, Hariharan. Quality of Life and Medico-Legal Implications Following Iatrogenic Bile Duct Injuries. (2017) World journal of surgery. doi:10.1007/s00268-016-3677-9 - Pubmed
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