Objective To summarize the experiences in diagnosis and treatment for iatrogenic injury of cholodocho-
pancreatico-duodenal junction （CPDJ）.
Method The clinical data of 9 patients with CPDJ injury were analyzed retro-spectively.
Results Double lumen tube drainage was emplaced in all the operations. Nutrition support and inhibitor of
pancreatic secretion were applied in all the patients. ①CPDJ injuries were observed intraoperatively for 6 out of 9 patients
with CPDJ injury. Two patients with simple perforation of posterior wall of common bile duct inferior segment and 2
patients with simple duodenal perforation who were treated by perforation repair， common bile duct T tube drainage， and
peritoneal drainage. Two cases of bile duct or duodenal injury with pancreatic injury were treated by choledochojejunostomy
and BillrothⅡgastrojejunostomy. These 6 patients with CPDJ injury were cured and none of case was death. ②Injuries of CPDJ were observed postoperatively for 3 out of 9 patients with CPDJ injury. Total bile diversion or total bile diversion with duodenal diverticulum were performed in 2 cases of bile duct or duodenal injury with pancreatic injury， respectively. The one with total bile diversion only was died of abdominal infection， duodenal fistula， wound dehiscence， abdominal and upper gastrointestinal tract bleeding， and multiple organ failure；the one with total bile diversion with duodenal diverticulum and the one with sequent PTCD and choledochojejunostomy for biliary obstruction caused by operation of
gigantic duodenal interstitialoma were cured.
Conclusions CPDJ injury usually occurs in biliary duct exploration， endoscopic sphincterectomy or duodenal operation. It is easily misdiagnosed and serious consequences may happen from this. Timely and correct treatment should be taken according to the specific injury observed during or after the operation.
Citation： WANG Derong,HE Zhenxing,YANG Hongchun,TIAN Yunhong,.. Diagnosis and Treatment for Iatrogenic Injury of Cholodocho-Pancreatico-Duodenal Junction. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(8): 926-928. doi: Copy