Online citations, reference lists, and bibliographies.

Bile Duct Injuries (BDI) In The Advanced Laparoscopic Cholecystectomy Era

Christopher W. Mangieri, Bryan P. Hendren, Matthew A. Strode, Bradley C Bandera, Byron J. Faler
Published 2018 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
Share
BackgroundLaparoscopic cholecystectomy is the most commonly performed laparoscopic procedure. It is superior in nearly every regard compared to open cholecystectomies. The one significant aspect where the laparoscopic approach is inferior regards the association with bile duct injuries (BDI). The BDI rate with laparoscopic cholecystectomy is approximately 0.5%; nearly triple the rate compared to the open approach. We propose that 0.5% BDI rate with the laparoscopic approach is no longer accurate.MethodsThe National Surgical Quality Improvement Program (NSQIP) registry was retrospectively reviewed. All laparoscopic cholecystectomies performed between 2012 and 2016 were extracted. A total of 217,774 cases meeting inclusion criteria were analyzed. The primary data points were the overall BDI incidence rate and time of diagnosis. BDI were identified by ICD-9 and ICD-10 codes. Secondary data points were variables associated with BDI.ResultsThe BDI rate was 0.19%. 77% of cases were diagnosed after the index surgical admission. Intra-operative cholangiography (IOC) use was associated with a higher BDI rate and higher identification rate of a BDI intraoperatively (P value < 0.0001). Resident teaching cases were protective with a RR score of 0.56 (P value < 0.0001). The presence of cholecystitis increased the risk of a BDI with a RR score of 1.20 (P value < 0.0001). There was a low conversion rate of 0.04% however converted cases had a nearly hundredfold increase in BDI at 15% (P value < 0.0001).ConclusionsThe performance of laparoscopic cholecystectomies in North America is no longer associated with higher BDI rates compared to open. IOC use still is not protective against BDI, and cholecystitis continues to be a risk factor for BDI. When a cholecystectomy requires conversion from a laparoscopic to an open approach the BDI increases a hundredfold; which may raise the concern if this approach is still a safe bailout method for a difficult laparoscopic dissection.
This paper references
10.1016/S0002-9610(99)80252-9
The learning curve for laparoscopic cholecystectomy
Michael J Moore (1995)
10.1016/j.jamcollsurg.2009.09.031
Toward robust information: data quality and inter-rater reliability in the American College of Surgeons National Surgical Quality Improvement Program.
Mira Shiloach (2010)
10.1001/jama.290.16.2168
Bile duct injury during cholecystectomy and survival in medicare beneficiaries.
David R. Flum (2003)
10.1111/j.1445-2197.2009.05205.x
Management of bile duct injury after laparoscopic cholecystectomy: a review.
Wan-yee Lau (2010)
Most Frequent Operating Room Procedures Performed in U.S. Hospitals, 2003–2012
Kathryn R Fingar (2006)
10.1016/S0002-9610(03)00056-4
Surgeons' anonymous response after bile duct injury during cholecystectomy.
J Francoeur (2003)
The First Laparoscopic Cholecystectomy
W. Reynolds (2001)
10.1002/bjs.1800811225
Risk factors for bile duct injury in laparoscopic cholecystectomy: analysis of 49 cases.
François Schol (1994)
10.1016/j.jamcollsurg.2012.11.013
Validation of new readmission data in the American College of Surgeons National Surgical Quality Improvement Program.
M M Sellers (2013)
10.1016/j.surg.2005.08.016
The NSQIP: a new frontier in surgery.
Shukri F. Khuri (2005)
10.1016/j.amjsurg.2008.05.010
Surgical outcomes of open cholecystectomy in the laparoscopic era.
Andrea S. Wolf (2009)
[Complications of laparoscopic surgery in urology].
R M Freid (1993)
10.1001/archsurg.140.10.986
Bile duct injury during laparoscopic cholecystectomy: results of an Italian national survey on 56 591 cholecystectomies.
Gennaro Nuzzo (2005)
10.1097/00000658-199308000-00003
Open cholecystectomy. A contemporary analysis of 42,474 patients.
Joel J. Roslyn (1993)
10.1002/bjs.1800801232
Bile duct injury and bile leakage in laparoscopic cholecystectomy.
Shi-cheng Huang (1993)
10.1002/bjs.1800840350
Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: an audit of 5913 cases.
Erik J. Nilsson (1997)
10.1007/s00268-005-7871-4
Bile Duct Injuries at Laparoscopic Cholecystectomy: A Single-Institution Prospective Study. Acute Cholecystitis Indicates an Increased Risk
Claes Söderlund (2005)
Chapter 84: Management of benign biliary strictures. In: Current surgical therapy, 12th edn
JL Cameron (2017)
10.1080/13651820310015293
Laparoscopic cholecystectomy: incidents and complications. A retrospective analysis of 9542 consecutive laparoscopic operations.
Sergiu Duca (2003)
Biliary system. In: Sabiston textbook of surgery: the biological basis of modern surgical practice, 20th edn
CM Townsend (2016)
10.1007/s004649900661
Bile duct injury after laparoscopic cholecystectomy
Bruce V Macfadyen (1998)
10.1001/archsurg.142.2.181
The impact of video games on training surgeons in the 21st century.
James C. Rosser (2007)
10.1007/s00464-015-4485-2
Beyond the learning curve: incidence of bile duct injuries following laparoscopic cholecystectomy normalize to open in the modern era
Caitlin A. Halbert (2015)
10.1046/j.1445-2197.2002.2362d.x
Sabiston. Textbook of Surgery: The Biological Basis of Modern Surgical Practice
Julian Smith (2002)
10.1007/s00464-002-8621-4
The decline of training in open biliary surgery
Richard S. Chung (2002)
10.1097/SLA.0b013e3181c1b18e
The impact of minimally invasive surgery on residents' open operative experience: analysis of two decades of national data.
Raphael S. Chung (2010)
a single-institution prospective study
C Söderlund (2019)
10.1007/s00464-015-4079-z
SAGES expert Delphi consensus: critical factors for safe surgical practice in laparoscopic cholecystectomy
P H Pucher (2015)
10.1089/lps.1994.4.419
The learning curve for laparoscopic cholecystectomy.
B. Cagir (1994)
10.1001/jama.289.13.1639
Intraoperative cholangiography and risk of common bile duct injury during cholecystectomy.
David R. Flum (2003)
10.1002/bjs.1800831009
Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: an audit of 5913 cases. West of Scotland Laparoscopic Cholecystectomy Audit Group.
Michael Richardson (1996)
10.4293/108680810X12924466008240
Combined robotic radical prostatectomy and robotic radical nephrectomy.
Hugh J. Lavery (2010)
Bile duct injury during laparoscopic cholecystectomy : results of an Italian national survey on 56 591 chol - ecystectomies
A Waage (2006)
10.1046/j.1365-2923.2003.01440.x
Simulation in surgical training: educational issues and practical implications.
Roger L. Kneebone (2003)
10.1007/s004649900877
New retraction technique to allow better visualization of Calot's triangle during laparoscopic cholecystectomy
Mitsugu Sekimoto (1998)
Complications of laparoscopic surgery
Richard A. Perugini (2001)
Bile duct injuries, 1989-1993 : A statewide experience. Discussion
J Calvin Russell (1996)
10.1002/bjs.5266
Bile duct injury in the era of laparoscopic cholecystectomy.
Saxon J Connor (2006)
Laparoscopic-to-open surgery coding. AAPC—Advancing the business of healthcare, AAPC Blog. http://www.aapc.com/blog/27975 -lapar oscop ic-to-open-surge ry-codin g
J Verhovshek (2015)
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)
10.4293/108680810X12924466007926
Laparoscopic Cholecystectomy Conversion Rates Two Decades Later
Sujit Vijay Sakpal (2010)
10.1016/j.jss.2007.03.073
Are we training our residents to perform open gall bladder and common bile duct operations?
Carl Ivan Schulman (2007)
10.1007/s00464-007-9316-7
Bile duct injuries during laparoscopic cholecystectomy: primary and long-term results from a single institution
Jukka Karvonen (2007)
10.1097/00000658-200110000-00014
Bile duct injury during laparoscopic cholecystectomy: results of a national survey.
Steven B Archer (2001)
10.1007/s00464-007-9511-6
Laparoscopic cholecystectomy for severe acute cholecystitis. A meta-analysis of results
Giuseppe Borzellino (2007)
10.1590/S1807-59322011000300009
What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations
Volkan Genç (2011)
10.1007/s00464-011-1780-4
Major biliary complications in 2,714 cases of laparoscopic cholecystectomy without intraoperative cholangiography: a multicenter retrospective study
Mostafa A. Hamad (2011)



This paper is referenced by
10.1007/s12262-020-02393-7
Bile Duct Injuries: Outcome of Early and Delayed Repair at a Tertiary Care Centre
Putchakayala Purnachandra Rao (2020)
10.5114/wiitm.2019.85806
Excision of a part of the bile duct as an iatrogenic injury typical for laparoscopic cholecystectomy – characteristics, treatment and long-term results, based on own material
Sergiusz Durowicz (2020)
10.14701/ahbps.2020.24.2.221
Isolated aberrant right cysticohepatic duct injury during laparoscopic cholecystectomy: Evaluation and treatment challenges of a severe postoperative complication associated with an extremely rare anatomical variant
Konstantinos Vasiliadis (2020)
10.1155/2019/3873876
Two Cases of Subvesical Bile Duct Injury Detected and Repaired Simultaneously during Laparoscopic Cholecystectomy
Atsushi Kohga (2019)
10.1111/ases.12774
Comparison of outcomes of single-incision and conventional laparoscopic cholecystectomy for cholecystitis requiring percutaneous transhepatic gallbladder drainage.
Naotake Funamizu (2019)
10.1007/s12262-019-01993-2
SELSI Consensus Statement for Safe Cholecystectomy — Prevention and Management of Bile Duct Injury — Part A
Virinder Kumar Bansal (2019)
10.1007/s12262-019-01994-1
SELSI Consensus Statement for Safe Cholecystectomy—Prevention and Management of Bile Duct Injury—Part B
Virinder Kumar Bansal (2019)
10.4240/wjgs.v11.i2.62
Safe laparoscopic cholecystectomy: Adoption of universal culture of safety in cholecystectomy
Vishal Gupta (2019)
10.1007/s13304-019-00633-4
Cholecystectomy-related malpractice litigation: predictive factors of case outcome
Davis A. Hartnett (2019)
10.1001/jamasurg.2020.0741
Association of Video Completed by Audio in Laparoscopic Cholecystectomy With Improvements in Operative Reporting.
Özgür Eryigit (2020)
10.1159/000496432
Long-Term Impact of Iatrogenic Bile Duct Injury
Anne Marthe Schreuder (2019)
10.1002/9781118769409.CH15
ERCP peri‐cholecystectomy
Paul R. Tarnasky (2020)
Semantic Scholar Logo Some data provided by SemanticScholar