In the case of a minor CBD injury during laparoscopic cholecystectomy, what is the proposed treatment?

In the scenario of a minor common bile duct (CBD) injury during laparoscopic cholecystectomy, the most appropriate treatment involves primary repair of the CBD with possible stenting. This approach is recommended because minor injuries typically involve a small laceration or contusion of the bile duct that can be effectively repaired rather than requiring more extensive surgical intervention.

Primary repair allows for the re-establishment of the normal anatomy and function of the bile duct, facilitating appropriate bile flow into the duodenum. Stenting may be utilized to help ensure patency of the duct during the healing process, thereby reducing the risk of stricture formation. This treatment strategy has been shown to yield good long-term outcomes and helps to prevent complications that can arise from more invasive procedures.

Observation alone might not suffice because it could lead to complications such as biliary leaks or strictures that would require additional surgery. Immediate hysterectomy is unrelated to biliary tree management and would not be a relevant option in this context. Radical resection is an overly aggressive approach for a minor injury and is typically reserved for more extensive damage to the biliary tree or surrounding structures. Therefore, primary repair with possible stenting remains the optimal and proposed treatment for minor CBD injuries sustained during laparoscopic