Management of bile duct injuries combined with accessory hepatic duct during laparoscopic cholecystectomy

Figure 1 Diagrammatic sketch of Case 3 before and after management. A: BDI was recognized during the operation, four bile ducts were transected (including left hepatic duct, right hepatic duct, and two accessory hepatic ducts); B: An accessory bile duct was ligated and a Roux-en-Y hepatojejunostomy was performed to manage BDI. BDI: Bile duct injuries.