[Studies of aetiology and management about iatrogenic injuries of bile duct].

74 patients with iatrogenic injuries of bile duct were treated from June 1965 to October 1994 in our hospital. Iatragenic extrahepatic bile duct injuries may be caused by some errors during cholecystectomy. The operator did not realize that cholecystectomy itself is a procedure with inherent and potential risks. The operator was careless, rude and arrogant in operating. The operator lacked experience and skill, and was unable to deal with difficult situation during operation. Also we discussed the management of bile duct injuries, and suggested that intraoperative injuries of extrahepatic bile duct should be reconstructed immediately including repair of or end to end anastomoses of the injuries of bile duct. Cholecystojejunostomy (Roux-en-Y technique) is the best reconstruction procedure for patients with the injuries of bile duct after operation or failure of repetitional repaired and reconstructive operations of bile duct. Satisfactory result could be obtained.