Background: This study aimed to propose a novel surgical reconstruction technique for complex high-location bile\nduct injury (CHBDI).\nMethods: There were eight patients with CHBDI underwent the novel hepaticojejunostomy between Feb 2015 and\nFeb 2017. Seven patients underwent a primary operation and found CHBDI postoperatively in the inferior hospitals\nreferred to our center. And four of them had received hepaticojejunostomy, but the results were not satisfying. One\npatient (No.8) with radiographically diagnosed hilar cholangiocarcinoma came to our center for surgical treatment and\nunderwent the novel hepaticojejunostomy technique because CHBDI was found in operation. Perioperative and\nfollow-up data of these patients were retrospectively reviewed.\nResults: The mean age was 47.6 ± 10.7 years, and there was four female. The mean range of time between the injury\nand the repair operation in our center was 6.3 ± 4.8 months. All repair operations using the novel hepaticojejunostomy\ntechnique in our center were successfully performed. No postoperative complications, including biliary fistula,\nrestenosis, peritonitis, and postoperative cholangitis was observed. Besides, no evidence of biliary stenosis or biliary\ncomplications happened during the follow-up (median 28months).\nConclusions: The novel hepaticojejunostomy is a reliable and convenient technique for surgical repair of multiple\nbiliary ductal openings like CHBDI.
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