There were studied the results of treatment of 29 patients with combined injury of biliary ducts and hepatic branches at cholecystectomy during the period from January 1984 to June 2012. Attempts of arterial blood supply restoration with the subsequent reconstructive intervention on biliary ducts were performed in 2 (6.9%) patients. Hepaticojejunostomy was formed in 19 (65.5%) patients under conditions of adequate collateral blood supply of the liver. Endovascular embolization of aneurism of the hepatic artery complicated by hemobilia was performed in one case. Resections of the liver different in volume were executed in 8 (27.6%) patients. A postoperative lethality was 3.5%. Positive results were received in 86.2%. The patients with combined damages of biliary ducts and hepatic branches at cholecystectomy needed multimodal management.
