Delayed repair for bile duct injuries (BDIs) following cholecystectomy significantly lowers reoperation and mortality rates.

• Early repair increases reoperation rates by 3.31 times and stricture rates by 7.41 times compared to late repair.
• Non-operative management leads to a staggering 16.60 higher reoperation rate than operative interventions.

Surgeons should prioritize delayed repair to improve patient outcomes after BDI.

• Minimal invasive surgery shows similar outcomes to open repair.