LAUSR

Highlights • We made Roux-en-Y hepaticojejunostomy without transhepatic billiary stent and also without Witzel drainage one month after iatrogenic high transectional lesion (Class E) of both hepatic ducts during laparoscopic cholecystectomy was performed.• We created a part of anastomosis between the jejunum and liver capsula with polydioxanone suture (PDS) 4-0 because of poor quality of the remaining parts of the hepatic ducts. We had to made two separate hepaticojejunal anastomoses (left and right) that we partly connected to the liver capsule, where we had a defect of hepatic ducts, without Witzel enterostomy and transhepatic biliary stent.• There were no significant postoperative complications.• We did magnetic resonance cholangiopancreatography (MRCP) one year after the surgical procedure, which showed the proper width of the intrahepatic bile ducts, with no signs of stenosis of anastomoses.• We tried and managed to avoid such types of drainage and proved that in this way, without those types of drainage, we can successfully do duplex hepaticojejunal anastomoses and that they can survive without complications.• Our case indicates that this approach can be successfully used for surgical repair of iatrogenic lesion of both hepatic ducts.