title: Clinical Application of Six Current Classification Systems for Iatrogenic Bile Duct Injuries after Cholecystectomy.
abstract: OBJECTIVE
  Due to being a severe complication, iatrogenic bile duct injury is still a challenging issue for surgeons in gallbladder surgery. However, a commonly accepted classification describing the type of injury has not been available yet. This study aims to evaluate ability of six current classification systems to discriminate bile duct injury patterns.
  
  
  METHODS
  Twelve patients, who were referred to our clinic because of iatrogenic bile duct injury after laparoscopic cholecystectomy were reviewed retrospectively. We described type of injury for each patient according to current six different classifications.
  
  
  RESULTS
  9 patients underwent definitive biliary reconstruction. Bismuth, Strasberg-Bismuth, Stewart-Way and Neuhaus classifications do not consider vascular involvement, Siewert system does, but only for the tangential lesions without structural loss of duct and lesion with a structural defect of hepatic or common bile duct. Siewert, Neuhaus and Stewart-Way systems do not discriminate between lesions at or above bifurcation of the hepatic duct.
  
  
  CONCLUSIONS
  The Hannover classification may resolve the missing aspects of other systems by describing additional vascular involvement and location of the lesion at or above bifurcation.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Velidedeoglu
authors.forename: Akif Enes
authors.initials: AE
authors.lastname: Arikan
authors.forename: Sezgin Server
authors.initials: SS
authors.lastname: Uludag
authors.forename: Deniz Cebi
authors.initials: DC
authors.lastname: Olgun
authors.forename: Fahrettin
authors.initials: F
authors.lastname: Kilic
authors.forename: Metin
authors.initials: M
authors.lastname: Kapan
mesh_terms: D000328:Adult; D057868:Anastomotic Leak / Q000145:classification* / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery; D002758:Cholangiography / Q000379:methods; D049448:Cholangiopancreatography, Magnetic Resonance; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002779:Cholestasis / Q000145:classification* / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D009626:Terminology as Topic; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000145:classification* / Q000175:diagnosis / Q000209:etiology / Q000601:surgery