Objective:To explore the early diagnosis and treatment of iatrogenic bile duct injury.Methods:The clinical data of 16 patients with iatrogenic bile duct injury from July 1997 to September 2009 were analyzed retrospectively.The clinical types of the bile duct injuries:BismuthⅠ(5 cases)

BismuthⅡ(9 cases)

Bismuth Ⅲ(0 case)

Bismuth Ⅳ(2 cases)

BismuthⅤ(0 case).The treatment of the bile duct injuries:Roux-enY biliary-enteric anastomosis with stent tube drainage(6 cases)

bile duct suture without T tube drainage(2 cases)

bile duct suture with T tube drainage(3 cases)

bile duct repair utilizing umbilical vein with T tube drainage(1 case)

bile duct repair utilizing cystic duct with T tube drainage(2 cases)

single drainage of abdominal cavity(2 cases).Results:All patients had been followed up for 3 months to 12 years.11(68.8%

11/16)cases obtained better effect

while the other 5(31.2%

5/16)cases received second operation because of unsatisfactory effect.Conclusion:Early diagnosis and correct treatment of iatrogenic bile duct injury are necessary for better effect.Otherwise

the effect will be unsatisfactory.Both bile duct suture or repair with T tube drainage and Roux-en Y biliary-enteric anastomosis with stent tube drainage are better treatment in the early stage of iatrogenic bile duct injury.