Abstract
Bile duct injury (BDI) remains a critical complication following cholecystectomy. Prevention, early recognition, and appropriate management can significantly improve patient outcomes. In this chapter, we will discuss the current review of the surgical management of BDI, including prevention techniques during the cholecystectomy, intra-operative diagnosis of the injury, early evaluation and imaging, importance and challenges of the referrals to a hepatobiliary center, types and classification of biliary injuries, biliary drainage, and interventional procedures bridging to definitive repair, timing of surgical repair-early versus late, surgical repair techniques, evaluation and management of combined vasculo-biliary injury.