ArticleCureus2025
Successful Repair of a Strasberg E4 Bile Duct Injury With Double-Barreled Dual Hepaticojejunostomy: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
Bile duct injury (BDI) is a catastrophic complication of cholecystectomy that can profoundly affect a patient's quality of life. While hepaticojejunostomy is the standard surgery for major BDI repair, reports of double-barreled dual hepaticojejunostomy following Strasberg E4 injury are limited. The complication rate of the repair of BDI above the bifurcation is very high, and very dismal outcomes are reported. We present a case of a 79-year-old male patient with multiple comorbidities who underwent laparoscopic cholecystectomy for acute gangrenous cholecystitis. He was transferred to our hospital on postoperative day (POD) 3 due to bile leak and sepsis. Endoscopic retrograde cholangiopancreatography
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