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Invited Critique
July 1999

Invited Critique: Operative Repair of Bile Duct Injuries Involving the Hepatic Duct Confluence

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Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999

Arch Surg. 1999;134(7):775. doi:10.1001/archsurg.134.7.775

Jarnagin has previously made enormous contributions to our current thinking about the clinical management of a variety of hepatobiliary diseases, and he and his colleague have now presented some useful guidelines for the management of proximal bile duct injuries. They correctly stress the enormity of the morbidity associated with these injuries, their great economic impact (including the propensity for litigation), and the fact that the initial effort at repair provides the best chance for success.

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