title: Non-operative management of right posterior sectoral duct injury following laparoscopic cholecystectomy.
abstract: 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.affiliation: Department of Surgery, Emory University Hospital, 1364 Clifton Road, NE Suite H-124-C, Atlanta, GA 30322, USA.
authors.forename: Laura M
authors.initials: LM
authors.lastname: Mazer
authors.forename: Elliot B
authors.initials: EB
authors.lastname: Tapper
authors.forename: Juan M
authors.initials: JM
authors.lastname: Sarmiento
mesh_terms: D000328:Adult; D000368:Aged; D001649:Bile Duct Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006500:Hepatic Duct, Common / Q000293:injuries* / Q000473:pathology; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D055815:Young Adult