Khadra H, Johnson H, Crowther J, et al. - Via performing a retrospective analysis, researchers examined 2 eras of bile duct injury repairs [1987 to 2001 (n = 58) and 2002 to 2016 (n = 52)] regarding its presentation, repair complexity, and outcomes, using logistic regression analyses. Observations revealed that the two eras did not differ in demographics, the incidence of cholecystitis, conversion, time to presentation, level of injury, or arterial injury. In the second era, they observed an increase in patient age, transhepatic catheter use, prior repair, and utilization of complex repairs. This approach led to a lesser incidence of postrepair strictures but with equivalent complications and mortality rates and with increased resource utilization. They observed decreased postrepair stricture with increased operative experience. This supports the benefits of early identification and referral of bile duct injuries to an experienced hepatobiliary surgeon at a specialty center.