ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Is laparoscopy a risk factor for bile duct injury during cholecystectomy?
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy.World journal of emergency surgery : WJES · 2021Guideline
- Is intraoperative cholangiography necessary during laparoscopic cholecystectomy for cholelithiasis?World journal of gastroenterology · 2015Trial
- Strasberg severity predicts 30-day loss of bile duct patency after ERCP in post-cholecystectomy bile duct injury.Gastroenterology and hepatology from bed to bench · 2026Article
- Acute cholecystitis, obesity, and steatohepatitis constitute the lethal triad for bile duct injury (BDI) during laparoscopic cholecystectomy.Surgical endoscopy · 2024Article
- Assessment of an intraductal metallic stent in the management of postcholecystectomy biliary strictures.iGIE : innovation, investigation and insights · 2023Article
- Early versus delayed reconstruction for bile duct injury a multicenter retrospective analysis of a hepatopancreaticobiliary group.Scientific reports · 2022Article
- The critical view of safety during laparoscopic cholecystectomy: Strasberg Yes or No? An Italian Multicentre study.Surgical endoscopy · 2021Article
- Bile duct injury during laparoscopic cholecystectomy: An Indian e-survey.Annals of hepato-biliary-pancreatic surgery · 2020Article
- Treatment of post-cholecystectomy biliary strictures with fully-covered self-expanding metal stents - results after 5 years of follow-up.BMC gastroenterology · 2019Article
- Laparoscopic Repair of Post-cholecystectomy Bile Duct Injury: an Advance in Surgical Management.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- Increasing resident utilization and recognition of the critical view of safety during laparoscopic cholecystectomy: a pilot study from an academic medical center.Surgical endoscopy · 2017Article
- Bile duct reconstruction following laparoscopic cholecystectomy in England.Surgical endoscopy · 2016Article
- Treatment of the iatrogenic lesion of the biliary tree secondary to laparoscopic cholecystectomy: a single center experience.Updates in surgery · 2016Review
- Blunt Dissection: A Solution to Prevent Bile Duct Injury in Laparoscopic Cholecystectomy.Chinese medical journal · 2015Article
- Age and Obesity are Independent Predictors of Bile Duct Injuries in Patients Undergoing Laparoscopic Cholecystectomy.World journal of surgery · 2015Article
- Unrecognized right posterior biliary duct: an intra-operative finding.Surgical and radiologic anatomy : SRA · 2014Article
- Biliary cirrhosis and sepsis are two risk factors of failure after surgical repair of major bile duct injury post-laparoscopic cholecystectomy.Langenbeck's archives of surgery · 2014Article
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Authors and funding
10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesPreviously, risk factors for bile duct injury have been identified as acute cholecystitis, male gender, older age, aberrant biliary anatomy, and laparoscopic cholecystectomy.
methodsA retrospective analysis of the Nationwide Inpatient Sample from 1998 to 2006 was performed with an inclusion criterion of cholecystectomy performed on hospital day 0 or 1. Patient- and hospital-level factors potentially associated with bile duct injury were examined by logistic regression.
resultsA total of 377,424 cholecystectomy patients were identified. There were 1124 bile duct injuries (0.30%), with 177 (0.06%) in the laparoscopic cholecystectomy group and 947 (1.46%) in the open cholecystectomy group (P < .001). On multivariate analysis, significant risk factors for bile duct injury were male gender (odds ratio [OR], 1.21; 95% confidence interval [CI], 1.06-1.38; P = .006), age >60 years (OR, 2.23; 95% CI, 1.61-3.09; P < .001), and academic hospital status (OR, 1.37; 95% CI, 1.05-1.79; P = .02). Acute cholecystitis was associated with a lower risk of bile duct injury (OR, 0.67; 95% CI, 0.46-0.99; P = .044).
conclusionIndependent risk factors for bile duct injury included male gender, age >60 years, and academic hospital status. Laparoscopic cholecystectomy, obesity, insurance status, or hospital volume was not associated with an increased risk of bile duct injury.
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