Managing injuries of hepatic duct confluence variants after major hepatobiliary surgery: An algorithmic approach

Figure 1 A: Retrograde cholangiogram demonstrating the left hepatic duct and its confluence with the right anterior sectorial duct (arrow, case 7); B: Fistulogram via the drain tube resulted in a retrograde cholangiogram through the transected right posterior sectorial duct (black arrow). Presence of a nasobiliary tube (white arrow) draining the left hepatic duct (case 7).

Figure 2 A: HIDA scan demonstrating bile leakage after right extended hepatectomy (case 5); B: Stentogram with intact hepatico-jejunal anastomosis in the same patient (case 5).

Figure 3 An algorithmic approach for the management of patients with injuries of hepatic duct confluence variants.