[Alternative surgical approaches to bilio-digestive diversions in iatrogenic lesions of the bile ducts].

The aim of this report was to evaluate the indications and limitations of non-anastomotic surgical repair in patients with bile duct injuries. These surgical approaches include both major and minor surgical procedures. The authors describe each procedure and conclude that: (i) specific diagnostic procedures are necessary to identify the exact level and severity of the injury; (ii) repair of bile duct injuries requires different approaches, which is only possible in specialized departments; and (iii) non-anastomotic surgical repair of bile duct injuries should be limited to cases detected during operation or in the immediate postoperative period.