OBJECTIVE: The purpose of this study is to describe the outcomes of conservative management for patients with right posterior sectoral bile duct injury acquired during laparoscopic cholecystectomy. METHODS: This retrospective, consecutive case series reviews seven patients with an isolated injury to the right posterior or right hepatic duct occurring during laparoscopic cholecystectomy. RESULTS: Seven patients with an isolated right sectoral duct injury were studied, six women and one man aged 22 to 71 years (mean age, 43.6 years). Diagnosis of bile duct injury occurred between 1 day and 13 weeks after the initial cholecystectomy. Three patients had plastic biliary stents placed and six patients had JP drains placed. All patients in this series were managed conservatively, with no reoperation for formal repair of the bile duct. Length of follow-up ranged from 2 to 14 months (mean, 8.2 months). At last follow-up, all patients were asymptomatic with no biliary drainage. CONCLUSIONS: Conservative management is an important option for patients with an isolated right posterior bile duct injury.
OBJECTIVE: The purpose of this study is to describe the outcomes of conservative management for patients with right posterior sectoral bile duct injury acquired during laparoscopic cholecystectomy. METHODS: This retrospective, consecutive case series reviews seven patients with an isolated injury to the right posterior or right hepatic duct occurring during laparoscopic cholecystectomy. RESULTS: Seven patients with an isolated right sectoral duct injury were studied, six women and one man aged 22 to 71 years (mean age, 43.6 years). Diagnosis of bile duct injury occurred between 1 day and 13 weeks after the initial cholecystectomy. Three patients had plastic biliary stents placed and six patients had JP drains placed. All patients in this series were managed conservatively, with no reoperation for formal repair of the bile duct. Length of follow-up ranged from 2 to 14 months (mean, 8.2 months). At last follow-up, all patients were asymptomatic with no biliary drainage. CONCLUSIONS: Conservative management is an important option for patients with an isolated right posterior bile duct injury.
Authors: Jason K Sicklick; Melissa S Camp; Keith D Lillemoe; Genevieve B Melton; Charles J Yeo; Kurtis A Campbell; Mark A Talamini; Henry A Pitt; JoAnn Coleman; Patricia A Sauter; John L Cameron Journal: Ann Surg Date: 2005-05 Impact factor: 12.969
Authors: A M Davidoff; T N Pappas; E A Murray; D J Hilleren; R D Johnson; M E Baker; G E Newman; P B Cotton; W C Meyers Journal: Ann Surg Date: 1992-03 Impact factor: 12.969
Authors: Giovanni Vennarecci; Giovanni Battista Levi Sandri; Lidia Colace; Giuseppe Maria Ettorre Journal: Surg Radiol Anat Date: 2014-02-16 Impact factor: 1.246