ArticleSurgical endoscopy2016
Major bile duct injury requiring operative reconstruction after laparoscopic cholecystectomy: a follow-on study.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 35 citations in OpenAlex.
- Evaluating the efficacy and safety of 2-methoxy-6-methylpyridine: a promising topical agent for gallstone dissolution in a porcine model.American journal of translational research · 2024Article
- High rate of stone-related complications after stapling the cystic duct during laparoscopic cholecystectomy-an underrecognized risk.Surgical endoscopy · 2023Article
- Simultaneous early surgical repair of post-cholecystectomy major bile duct injury and complex abdominal evisceration: A case report.International journal of surgery case reports · 2022Article
- Total Hilar Exposure Maneuver for Repair of Complex Bile Duct Injury.Annals of gastroenterological surgery · 2022Article
- Bile duct injury outcomes following cholecystectomy: a cross sectional study.American journal of clinical and experimental immunology · 2020Article
- Assessing the effect of the critical view of safety criteria on simulated operative decision-making: a pilot study.Surgical endoscopy · 2019Article
- Surgical management of laparoscopic cholecystectomy (LC) related major bile duct injuries; predictors of short-and long-term outcomes in a tertiary Egyptian center- a retrospective cohort study.Annals of medicine and surgery (2012) · 2018Article
- An observational study of the timing of surgery, use of laparoscopy and outcomes for acute cholecystitis in the USA and UK.Surgical endoscopy · 2018Observational
- The emerging role for robotics in cholecystectomy: the dawn of a new era?Hepatobiliary surgery and nutrition · 2018Review
- Evaluation of crowd-sourced assessment of the critical view of safety in laparoscopic cholecystectomy.Surgical endoscopy · 2017Article
- [Intraoperatively unrecognized central bile duct injury : In open converted, laparoscopically begun cholecystectomy].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundBile duct injury (BDI) after laparoscopic cholecystectomy (LC) has significant cost impact and is a significant source of morbidity and mortality. We undertook a population-based assessment of the national experience with BDI between 2001 and 2011 and compared this to our report for the prior decade.
methodsUsing the nationwide inpatient sample (NIS) for 2001-2011, we identified patients who underwent LC or partial cholecystectomy, with and without biliary reconstruction. Data were analyzed using methods that accounted for the hierarchical, stratified random sampling of the NIS. Both univariate modeling and multivariate modeling were performed.
resultsLCs increased from 71.1 % in 2001 to 79.0 % in 2011 (p < 0.0001). Annual mortality decreased from 0.56 to 0.38 % (p = 0.002). In 2001, 0.11 % of LCs were associated with biliary reconstruction versus 0.09 % in 2011 (p = 0.15) with rates ranging from 0.08 to 0.12 %. The need for reconstruction was associated with an average in-hospital mortality rate of 4.4 %. Mortality rates from LC remained consistent across the study period (average mortality, 0.10 %, p = 0.57). Under multivariate analysis, admission to rural or urban non-teaching centers was associated with a decreased rate of injury; the majority of major BDIs were admitted from clinic or outpatient settings. These results are consistent with results from the prior decade. Neither emergent admission nor race was associated with increased odds of BDI, and this differs from our prior analysis.
conclusionLC continued to increase in utilization between 2001 and 2011. Although rates of BDI have decreased, the need for reconstruction continues to be associated with a significant mortality. In addition, mortality related to biliary reconstruction is also higher than previously published series and may reflect the complexity of managing biliary injury as well as the higher likelihood of these patients having comorbid conditions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.