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To analyze the causes, referral patterns, and outcomes of major bile duct injuries (BDIs) in a tertiary care setting.

April 10, 2026CureusOpen Access

Iatrogenic Bile Duct Injury in 2025: Real World Causes, Referral Patterns, and Reconstruction Outcomes From a Tertiary Care Centre in a Sub-himalayan Region

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To analyze the causes, referral patterns, and outcomes of major bile duct injuries (BDIs) in a tertiary care setting.
Retrospective analysis of a BDI registry at a tertiary center.
Inclusion of adult patients referred with major iatrogenic BDIs requiring surgical reconstruction.
Evaluation of demographic data, injury characteristics, and management outcomes.
23 patients underwent Roux-en-Y hepaticojejunostomy for major BDIs.
Most injuries (91.3%) occurred during laparoscopic cholecystectomy.
73.9% of injuries were associated with surgeons having less than three years of experience.

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Retrospective analysis reveals outcomes of major bile duct injuries in adults, indicating prevention strategies are essential.

Kumar et al. (2026) studied this question.

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