Online citations, reference lists, and bibliographies.

Risk Factors For Bile Duct Injury In Laparoscopic Cholecystectomy: Analysis Of 49 Cases.

François Schol, Peter Mnyh Go, Dirk Joan Gouma
Published 1994 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
Share
Forty-nine bile duct injuries, representing 0.8 per cent of 6076 laparoscopic cholecystectomies performed in the Netherlands in 1990-1992, were reviewed. The aim of the study was to classify the injuries according to severity, to identify possible risk factors contributing to the aetiology of such injuries and to correlate these with the severity of the injury. On the basis of operative findings, bile duct injuries were classified from minor (classes I-IIIa) to extensive with loss of bile duct tissue (IIIb) or localization in the liver hilum (IV). Of 49 injuries, there were 11 in class I, six in class II, ten in class IIIa, 18 in class IIIb and four in class IV. In 16 patients the injury was detected during laparoscopic cholecystectomy and the procedure converted to laparotomy. The duct injury was minor (class I-IIIa) in 14 of these 16 patients. In 20 of the 33 patients in whom identification of the injury was delayed to a second or third operation, more severe types of injury (classes IIIb and IV) were observed. Delayed detection was associated with greater severity (P = 0.002). Of eight patients with histologically proven acute cholecystitis at cholecystectomy, seven suffered severe injury (class IIIb or IV). Surgical experience with laparoscopic cholecystectomy was an important factor in the incidence of bile duct injury.



This paper is referenced by
10.1159/000052024
Management of Bile Duct Injuries: Treatment and Long-Term Results
Dirk Joan Gouma (2002)
Laparoscopic cholecystectomy: experience with 303 patients over the initial four years.
Sean S. Dolan (1999)
Incidence of Alteration in Liver Functional Tests in Patients Undergoing Laparoscopic Cholecystectomy
Mohit Mohindra (2017)
COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY AT ISRA UNIVERSITY HOSPITAL, HYDERABAD
Waseem Memon (2009)
10.18203/2349-2902.isj20160485
Study of laparoscopic cholecystectomy in rural hospital
Chinmay Gandhi (2016)
10.1007/s004649900897
The outcome of major biliary tract injury with leakage in laparoscopic cholecystectomy
Baki Topal (1999)
Transplantation hépatique pour plaie iatrogène des voies biliaires post-cholécystectomie : étude rétrospective multicentrique nationale française
Maxime Guieu (2018)
10.3748/wjg.v22.i47.10287
Protocol for laparoscopic cholecystectomy: Is it rocket science?
Tomohide Hori (2016)
10.1007/s00268-001-0121-5
Treatment of Common Bile Duct Injuries during Laparoscopic Cholecystectomy: Endoscopic and Surgical Management
Attila Csendes (2001)
10.1007/PL00012282
Emergency Minilaparotomy Cholecystectomy for Acute Cholecystitis: Prospective Randomized Trial—Implications for the Laparoscopic Era
Ahmad Assalia (1997)
Laparoscopic Surgery in Very Acute Cholecystitis
Paolo Ubiali (2002)
10.1007/s00464-006-0488-3
Avoiding biliary injury during laparoscopic cholecystectomy: technical considerations
Mark P. Callery (2006)
10.1016/j.jamcollsurg.2013.05.001
A teaching program for the "culture of safety in cholecystectomy" and avoidance of bile duct injury.
Steven M. Strasberg (2013)
10.1007/s004649900662
How, when, and why bile duct injury occurs
Eduard M. Targarona (1998)
Latrogenic bile duct injuries in the era of laparoscopic cholecystectomy
Ana Margarida Ferreira Maia Gomes Cabral (2018)
10.1007/s00261-004-0276-2
Bile duct leaks after laparoscopic cholecystectomy: value of contrast-enhanced MRCP
Marta Aduna (2004)
A RETROSPECTIVE ANALYSIS OF COMPLICATIONS IN 2348 CASES OF LAPAROSCOPIC CHOLECYSTECTOMIES
Satish Kumar Bansal (2015)
10.1007/s00270-004-2678-5
Isolated Right Segmental Hepatic Duct Injury Following Laparoscopic Cholecystectomy
Rafael F. Perini (2005)
10.21276/ijcmsr.2019.4.2.1
Incidents and Complications in Laparoscopic Cholecystectomy: A Retrospective Analysis of 336 Cases
Om Prakash Gupta (2019)
10.18203/2349-2902.ISJ20192987
An analysis of postoperative adverse events following laparoscopic cholecystectomy in a tertiary care hospital
Ramanuj Mukherjee (2019)
10.1007/s004640000103
Bile duct injury during laparoscopic cholecystectomyrid
Juan J Calvete (2014)
10.1007/BF00311546
The British Journal of Surgery digest
Jr Farndon (1995)
Complications of Laparoscopic Cholecystectomy at Liaquat University, Jamshoro
Abdul Ghafoor Dalwani (2013)
10.1016/j.ijscr.2012.07.017
Gallstone abscess as a result of dropped gallstones during laparoscopic cholecystectomy.
Kuldeep Singh (2012)
Biliary complications after laparoscopic cholecystectomy.
Udaya Koirala (2011)
Biliary complications associated with laparoscopic cholecystectomy--an analysis of common misconceptions.
Janne Bingham (2000)
CVS is a better approach for Laparoscopic Cholecystectomy
Abbas Abdul Kadhim (2016)
10.1001/archsurg.141.12.1207
Iatrogenic bile duct injury: a population-based study of 152 776 cholecystectomies in the Swedish Inpatient Registry.
Anne Waage (2006)
Safety in the Operating Theatre | a Multi Factor Approach for Patients and Teams
L.S.G.L. Wauben (2010)
Assessment of Incidence and Complications Associated with Laparoscopic Cholecystectomy: A Retrospective Study
Rishi Kant Aryal (2017)
10.1007/s12262-012-0707-1
Morphometric Study of Coeliac Trunk Specific Reference to Hepatic Artery Pattern in the West-Indian Population
Binodkumar G P Singh (2012)
10.1007/s00268-007-9323-9
Evaluation of Protocol Uniformity Concerning Laparoscopic Cholecystectomy in The Netherlands
L. S. G. L. Wauben (2007)
See more
Semantic Scholar Logo Some data provided by SemanticScholar