Table 3 Classification of bile duct injuries in 35 patients according to ATOM [17]

Anatomical Level

 MBD (Major)

16

45.7

  • MBD 1

6

17.1

  • MBD 2

6

17.1

  • MBD 3

1

2.9

  • MBD 4

1

2.9

  • MBD 5

2

5.7

  • MBD 6

0

0.0

 NMBD (Minor)

19

54.3

  • Cystohepatic accessory duct

1

2.9

  • The duct of Luschka (hepatico-cholecystic bile duct) / Aberrant Subvesical bile duct

8

22.8

  • A leak from the cystic stump (slipped cystic duct clip)

7

20.0

  • Aberrant right hepatic duct

1

2.9

  • Lateral injury to CHD

2

5.7

Type and extent of the injury

 Partial division

13

37.1

 Complete division

14

40.0

 Partial occlusion

5

14.3

 Complete occlusion

3

8.5

Vasculobiliary injury

 No

34

97.1

 Right hepatic artery

1

2.9

Time of detection

 Intraoperative (Ei)

10

28.6

  • Devisu

2

5.7

  • bile leak

7

20.0

  • IOC

1

2.9

 Early Postoperative (Ep)

22

62.9

  • < 72 h.

9

25.7

  • > 72 h. <3 weeks

13

74.3

 Late (L)

3

8.6

Mechanism of damage

 Unknown

19

54.3

 Mechanical (Me)

13

37.1

 Energy-driven (ED)

3

8.6