Objective：To study the experience in diagnosis, management and prevention of iatrogenic bile duct injury(IBDI) with hepatic pedicle vascular injury.
Methods：A total of six patients with iatrogenic bile duct injury and hepatic pedicle vascular injury treated from Jan 1990 to Dec 2007 were involved in this retrospective analysis.
Results： In the six cases of iatrogenic bile duct injury, three of them were Type Ⅲ and the other three were TypesⅥ. Pedicle vascular injury included left hepatic artery injury, right hepatic artery, left-portal vein and right-portal vein injury. Two cases died on the third day and five months after surgery, respectively. The other four cases suffered a series of serious complications, but were cured by surgical treatment. All the four cases underwent follow-up survey; they were all well for 6 months to 17 years.
Conclusions：Iatrogenic bile duct injury(IBDI) with hepatic pedicle vascular injury is difficult to deal with, and is one of the fatal complications of cholecystectomy. The key to prevention of IBDI with hepatic pedicle vascular injury lies on properly dealing with bleeding from hepatic pedicle.