Top

Published in:

01-02-2004 | Original article

Bile duct injuries during laparoscopic cholecystectomy: a 1994–2001 audit on 13,718 operations in the area of Rome

Authors: P. Gentileschi, M. Di Paola, M. Catarci, E. Santoro, L. Montemurro, M. Carlini, E. Nanni, L. Alessandroni, R. Angeloni, B. Benini, F. Cristini, A. Dalla Torre, C. De Stefano, A. Gatto, F. Gossetti, S. Manfroni, P. Mascagni, L. Masoni, G. Montalto, D. Polito, E. Puce, G. Silecchia, A. Terenzi, M. Valle, S. Vita, T. Zanarini

Published in: Surgical Endoscopy | Issue 2/2004

Abstract

Background

Bile duct injuries (BDIs) during laparoscopic cholecystectomy (LC) still are reported with greater frequency than during open cholecystectomy (OC).

Methods

In 1999, a retrospective study evaluating the incidence of BDIs during LC in the area of Rome from 1994 to 1998 (group A) was performed. In addition, a prospective audit was started, ending in December 2001 (group B).

Results

In group A, 6,419 LCs were performed (222 were converted to OC; 3.4%). In group B, 7,299 LCs were performed (225 were converted to OC; 3.1%). Seventeen BDIs (0.26%) occurred in group A and 16 (0.22%) in group B. Overall, mortality and major morbidity rates were 12.1% and 30.3%, respectively, without significant differences between the two groups.

Conclusions

The incidence and clinical relevance of BDIs during LC in the area of Rome appeared to be stable over the past 8 years and were not influenced by the use of a prospective audit, as compared with a retrospective survey.

Archer, SB, Brown, DW, Smith, D, Branum, GD, Hunter, JG 2001Bile duct injury during laparoscopic cholecystectomy: results of a national survey.Ann Surg234549559CrossRefPubMed

Buell, JF, Cronin, DC, Funaki, B, Koffron, A, Yoshida, A, Lo, A, Leef, J, Millis, JM 2002Devastating and fatal complications associated with combined vascular and bile duct injuries during cholecystectomy.Arch Surg137703708CrossRefPubMed

Calvete, J, Sabeter, L, Camps, B, Verdu, A, Gomez-Portilla, A, Martin, J, Torrico, MA, Flor, B, Cassinello, N, Liedo, S 2000Bile duct injury during laparoscopic cholecystectomy: myth or reality of the learning curve?Surg Endosc14605611CrossRefPubMed

Catarci, M, Carlini, M, Gentileschi, P, Santoro, E 2001Major and minor injuries during the creation of pneumoperitoneum: a multicenter study on 12,919 cases.Surg Endosc15566569CrossRefPubMed

Davidoff, AM, Pappas, TN, Murray, EA, Hilleren, DJ, Johnson, RD, Baker, ME, Newman, GE, Cotton, PB, Meyers, WC 1992Mechanisms of major biliary injury during laparoscopic cholecystectomy.Ann Surg215196202PubMed

Jarnagin, WR, Blumgart, LH 1999Operative repair of bile duct injuries involving the hepatic duct confluence.Arch Surg134769775CrossRefPubMed

Jones Monahan, K, Gruenberg, JC 1998Bile duct injuries during laparoscopic cholecystectomy: a community’s experience.Am Surg64638642PubMed

Krahenbuhl, L, Sclabas, G, Wente, N, Schafer, M, Schlumpf, R, Buchler, MW 2001Incidence, risk factors, and prevention of biliary tract injuries during laparoscopic cholecystectomy in Switzerland.World J Surg2513251330PubMed

Ludwig, K, Bernhardt, J, Steffen, H, Lorenz, D 2002Contribution of intraoperative cholangiography to incidence and outcome of common bile duct injuries during laparoscopic cholecystectomy.Surg Endosc1610981104CrossRefPubMed

10.

MacFadyen, BV,Jr, Vecchio, R, Ricardo, E, Mathis, CR 1998Bile duct injury after laparoscopic cholecystectomy: the United States experience.Surg Endosc12315321CrossRefPubMed

11.

McMahon, AJ, Fischbacher, CM, Frame, SH, MacLeod, MC 2000Impact of laparoscopic cholecystectomy: a population-based study.Lancet35616321637CrossRefPubMed

12.

McMahon, AJ, Fullarton, G, Baxter, JN, O’Dwyer, PJ 1995Bile duct injury and bile leakage in laparoscopic cholecystectomy.Br J Surg82307313PubMed

13.

Moody, F 2000Bile duct injury during laparoscopic cholecystectomy.Surg Endosc14605607CrossRefPubMed

14.

Moosa, AR, Easter, DW, Sonnenberg, E, Casola, G, D’Agostino, H 1992Laparoscopic injuries to the bile duct: a cause for concern.Ann Surg215203208PubMed

15.

Murr, MM, Gigot, JF, Nagorney, DM, Harmsen, WS, Ilstrup, DM, Farnell, MB 1999Long-term results of biliary reconstruction after laparoscopic bile duct injuries.Arch Surg134604610CrossRefPubMed

16.

Nordin, A, Halme, L, Makisalo, H, Isoniemi, H, Hockerstedt, K 2002Management and outcome of major bile duct injuries after laparoscopic cholecystectomy: from therapeutic endoscopy to liver transplantation.Liver Transplant810361043CrossRef

17.

Regoly-Merei, J, Ihasz, M, Szerberin, Z, Sandor, J, Matè, M 1998Biliary tract complications in laparoscopic cholecystectomy: a multicenter study of 148 biliary tract injuries in 26,440 operations.Surg Endosc12294300CrossRefPubMed

18.

Richardson, MC, Bell, G, Fullarton, GM 1996Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: an audit of 5,913 cases.Br J Surg8313561360

19.

Roy, AF, Passi, RB, Lapointe, RW, McAlister, VC, Dagenais, MH, Wall, WJ 1993Bile duct injury during laparoscopic cholecystectomy.Can J Surg36509516PubMed

20.

Russell, JC, Walsch, SJ, Mattie, AS, Lynch, JT 1996Bile duct injuries, 1989–1993: a statewide experience. Connecticut Laparoscopic Cholecystectomy Registry.Arch Surg131382388PubMed

21.

Shea, JA, Berlin, JA, Bachwich, DR, Staroscik, RN, Malet, PF, McGuckin, M, Schwartz, JS, Escarce, JJ 1998Indications for and outcomes of cholecystectomy: a comparison of the pre- and postlaparoscopic eras.Ann Surg227343350CrossRefPubMed

22.

Shea, JA, Healey, MJ, Berlin, JA, Clarke, JR, Malet, PF, Staroscik, RN, Schwartz, JS, Williams, SV 1996Mortality and complications associated with laparoscopic cholecystectomy: a meta-analysis.Ann Surg224609620CrossRefPubMed

23.

Strasberg, SM, Hertl, M, Soper, NJ 1995An analysis of the problem of biliary injury during laparoscopic cholecystectomy.J Am Coll Surg180101125PubMed

24.

Taylor, B 1998Common bile duct injury during laparoscopic cholecystectomy in Ontario: does ICD-9 coding indicate true incidence?CMAJ158481485PubMed

25.

Thompson, MH, Benger, JR 2000Cholecystectomy, conversion, and complications.HPB Surg11373378PubMed

26.

Windsor, JA, Pong, J 1998Laparoscopic biliary injury: more than a learning curve problem.ANZ J Surg68186189

27.

Zacks, SL, Sandler, RS, Rutledge, R, Brown, RS,Jr 2002A population-based cohort study comparing laparoscopic cholecystectomy and open cholecystectomy.Am J Gastroenterol97334340CrossRefPubMed

28.

Z’graggen, K, Wehrli, H, Metzger, A, Buehler, M, Frei, E, Klaiber, C 1998Complications of laparoscopic cholecystectomy in Switzerland: a prospective 3-year study of 10,174 patients. Swiss Association of Laparoscopic and Thoracoscopic Surgery.Surg Endosc1213031310CrossRefPubMed

Title: Bile duct injuries during laparoscopic cholecystectomy: a 1994–2001 audit on 13,718 operations in the area of Rome
Authors: P. Gentileschi
M. Di Paola
M. Catarci
E. Santoro
L. Montemurro
M. Carlini
E. Nanni
L. Alessandroni
R. Angeloni
B. Benini
F. Cristini
A. Dalla Torre
C. De Stefano
A. Gatto
F. Gossetti
S. Manfroni
P. Mascagni
L. Masoni
G. Montalto
D. Polito
E. Puce
G. Silecchia
A. Terenzi
M. Valle
S. Vita
T. Zanarini
Publication date: 01-02-2004
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 2/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-003-8815-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Bile duct injuries during laparoscopic cholecystectomy: a 1994–2001 audit on 13,718 operations in the area of Rome

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 2/2004

Hand-assisted laparoscopic splenectomy for solitary splenic metastasis from uterine corpus carcinoma

A rare life-threatening complication of migrated nitinol self-expanding metallic stent (Ultraflex)

A prospective analysis of 3525 esophagogastroduodenoscopies performed by surgeons

Endoscopic snare resection of an intrapapillary pedunculated villous adenoma presenting as acute recurrent pancreatitis

Determinants of competency judgments by experienced laparoscopic surgeons

Situs inversus totalis: giant hiatal hernia repair by laparoscopic Collis gastroplasty and Nissen fundoplication