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World Journal of Surgery

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01-07-2015 | Original Scientific Report

Age and Obesity are Independent Predictors of Bile Duct Injuries in Patients Undergoing Laparoscopic Cholecystectomy

Authors: Hassan Aziz, Viraj Pandit, Bellal Joseph, Tun Jie, Evan Ong

Published in: World Journal of Surgery | Issue 7/2015

Abstract

Introduction

Iatrogenic bile duct injury is a serious complication of cholecystectomy. The aim of this study was to assess predictors of bile duct injury using a national database.

Methods

The Nationwide Inpatient Sample (2010–2012) was queried for laparoscopic cholecystectomy. We used a) diagnoses for bile duct injury and b) bile duct injury repair procedure codes as a surrogate marker for bile duct injuries.

Results

A total of 1,015 patients had bile duct injury. The mean age was 58.2 ± 19.7 years, 53.5 % were males, and median Charlson co-morbidity score was 2 [2, 3]. Multivariate analysis revealed morbid obesity [2.8 (2.1–4.3); p = 0.03] and age >65 [1.5 (1.05–2.1); p = 0.01] as the independent predictors for bile duct injury in patients undergoing cholecystectomy.

Conclusion

Our study finds a new association between obesity, aging, and bile duct injuries which has never been reported in literature before.

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Title: Age and Obesity are Independent Predictors of Bile Duct Injuries in Patients Undergoing Laparoscopic Cholecystectomy
Authors: Hassan Aziz
Viraj Pandit
Bellal Joseph
Tun Jie
Evan Ong
Publication date: 01-07-2015
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 7/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-015-3010-z

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Age and Obesity are Independent Predictors of Bile Duct Injuries in Patients Undergoing Laparoscopic Cholecystectomy

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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