Surgical options in XXXX to the extrahepatic biliary tract.

@entity1 @entity1085 @entity1157 @entity254 @entity130
A series of 53 @entity1 who sustained extrahepatic biliary tract trauma were analysed to define the role of the various surgical options. Of the 45 @entity1 with @entity1085 , 39 were due to stab wounds. Nine of the 45 @entity130 were repaired by primary suture without complication. Five @entity1 underwent cholecystostomy and all developed biliary fistulae, which resulted in prolonged hospitalization. Cholecystectomy was performed in 31 @entity1 ; in retrospect many of these gallbladders could have been preserved because on only eight occasions was the gallbladder extensively damaged. Of eight extrahepatic @entity1157 , the three partial transections managed by primary repair had a successful outcome, while the five complete transections were managed by a variety of techniques. Delayed diagnosis, failure of operative recognition of the injury and improper management were factors that led to mortality in two @entity1 and prolonged morbidity in another. We conclude that suture repair is the operation of choice for @entity1085 without @entity130 . @entity130 must be recognized. Partial transections are best managed by primary repair. Complete transections should be managed by primary duct jejunal @entity254 if the expertise is available.
