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Table 1 Bismuth-Strasberg classification

From: Hepaticojejunostomy in proximal bile duct injury by left hepatic duct approach for patients attended at Muhimbili National Hospital

Bile duct injury

Bismuth

Strasberg

Cystic duct leak or leaks from a small duct in the liver bed

 

A

Partial occlusion of the biliary tree most frequently of an aberrant RHD

 

B

Bile leak from duct (an aberrant RHD) that is not communicating with CBD

 

C

Lateral injury of the biliary system without loss of continuity

 

D

Circumferential injury of the biliary tree with loss of continuity

 

E

CHD stricture, stump > 2 cm

Type I

E1

CHD stricture, stump < 2 cm

Type II

E2

Hilar stricture with preserved biliary confluence

Type III

E3

Hilar stricture with involvement of confluence

Type IV

E4

Stricture to aberrant RHD and to CHD

Type V

E5