8 patients with iatragenic injuries of bile duct during cholecystectomy were treated from January 1985 to July 1986 in our hospital. Iatragenic extrahepatic bile duct injuries may be caused by some errors during cholecystectomy. The operator did not realize that cholecystectomy itself is a procedure with potential risks. The operator was careless and did not anatomize "Three Duct" carefully(common bile duct

common hepatic duct and cystic duct). The operator failed to recognize abnormal bile duct. We made several suggestions to prevent the injures during cholecystectomy. In addition

we discussed the management of bile duct in j uries and came to the conclusion that intraoperative injuries of extrahepatic bile duct should be reconstructed immediately including end to end anastomoses of the injuries of bile duct. While a postoperative bile leakage

a second - stage reconstruction of the bile duct following drainage of peritoneal cavity and/or T tube of bile duct drainage is cholecystojuj unostomy(roux - en - y).