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038) as well as hepaticojejunostomy (HR=3.358, CI=1.090-10.350, P=0.035) and bile duct type other than type I. (HR=2.214, CI=1.143-4.289, P=0.018) Better outcome in terms of obtaining a single opening was also obtained in the 'cut and clip' group (68.2% vs. 84.6%, P=0.04, and this difference was significant especially with a common channel shorter than 10 millimeters (45.5% vs. 81.2%, P=0.043). The 'cut and clip' technique showed superior outcomes to the 'clip and cut' technique in terms of fewer bile duct openings and biliary stricture-free survi