Transition from a low: to a high-volume centre for bile duct repair: changes in technique and improved outcome.

Background: Improvements in bile duct injury repairs have been shown in centres with specialized surgeons. The aim of the present study was to demonstrate the temporal change in the pattern of referral, technical variation associated with repair and long-term outcome of bile duct injuries at a tertiary referral centre in Mexico City.

Methods: A retrospective case note review was performed.