Introduction: The combined damage of extra hepatic biliary ducts and vessels are the most serious complication of a cholecystectomy with high frequency of unsatisfactory treatment and mortality rate. Performance of a resection or liver transplantation was required from 13,2 to 57% of patients with the combined biliovascular injury (BVI). Methods: 31 Patients with the BVI after cholecystectomy, in period from January 1984 till May, 2015. At 21 patients (67,7%) damages open cholecystectomy, at 10 (32,3%)laparoscopically. Damage of a biliary ducts intraoperations is diagnosed in 6 (19,4%) cases. In the early postoperative period (to 7 days) existence of an occlusions of branches of a hepatic artery is established at 4 patients (12,9%), in latein terms of 8 days till 3 years-at 21 (67,7%). In 5 (16,1%) cases the occlusions common hepatic, in 24 (77,4%)-right and 2 (6,5%)-the left hepatic artery was found. Results: 2 Patients had attempts of restoration of an arterial blood groove. Owing to hepatic artery collaterals development 19 patients resumed hepatic artery flow and underwent hepaticojejunostomy as a result only. In two cases it was preceded by an embolization of aneurism of a hepatic artery. Various volume of the liver resection with its necrosis and an abscess are executed at 9 (29,0%) patients. Conclusion:Positive results in terms to 10 years are received at 27 (86,2%), unsatisfactory-at 4 (13,8%), one patient died. Patients with BVI need multimodalny tactics of treatment account features of their clinical current.