type A: bile leak from cystic duct stump or small biliary ducts in gallbladder fossa
type B: occlusion of part of the biliary tree, commonly aberrant right hepatic duct(s)
type C: bile leak from divided right posterior sectoral duct
type D: bile leak from main bile duct
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type E: injury to the main hepatic duct; classified according to the level of injury
E1: injury >2 cm below the confluence
E2: injury <2 cm below the confluence
E3: injury at the confluence with preserved communication between left and right ducts
E4: injury above or at the biliary confluence with no communication between left and right ducts
E5: injury to the aberrant right hepatic duct as well as the main duct
Case Discussion
Diagrammatic depiction of the Strasberg classification of bile duct injury.