ArticleSurgical endoscopy2020
Bile duct injuries: a contemporary survey of surgeon attitudes and experiences.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- SAGES-AHPBA 2025: a systematic review and meta-analysis on the surgical management of bile duct injury following cholecystectomy.Surgical endoscopy · 2025Pooled it
- 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy.World journal of emergency surgery : WJES · 2021Guideline
- Mapping the learning curve of robotic cholecystectomy: a multi‑surgeon cohort analysis.Surgical endoscopy · 2026Article
- Laparoscopic management of a rare intrahepatic bile duct variation in a patient with cholelithiasis: a case report and review of the literature.BMC surgery · 2026Review
- Effect of Emotional Prompt on the Quality of ChatGPT Based Discharge Instructions After Laparoscopic Cholecystectomy Using ERAS Derived Benchmarks.Journal of multidisciplinary healthcare · 2026Article
- Retrospective evaluation of transhepatic biliary stent placement in patients undergoing hepaticojejunostomy.Pakistan journal of medical sciences · 2025Article
- Post-operative complications of cholecystectomy: what the radiologist needs to know.Abdominal radiology (New York) · 2025Review
- Management of obstructive jaundice induced by a retained bullet in the common hepatic duct: A case report.Qatar medical journal · 2025Article
- Four-Year Report of Iatrogenic Bile Duct Injury Repair from a Referral Hepatobiliary Center.Middle East journal of digestive diseases · 2024Article
- Post-cholecystectomy bile duct injuries: a retrospective cohort study.BMC surgery · 2024Article
- Minimally invasive surgery for post cholecystectomy biliary stricture: current evidence and future perspectives.World journal of gastrointestinal surgery · 2023Review
- BILE: A Literature Review Based Novel Clinical Classification and Treatment Algorithm of Iatrogenic Bile Duct Injuries.Journal of clinical medicine · 2023Review
- Biomechanical Behaviors and Degradation Properties of Multilayered Polymer Scaffolds: The Phase Space Method for Bile Duct Design and Bioengineering.Biomedicines · 2023Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe incidence of bile duct injury (BDI) during laparoscopic cholecystectomy has not changed significantly in the past 2 decades despite increased operative experience and technical refinement. We sought to evaluate surgeon-specific factors associated with BDI and to assess how surgeons manage injuries.
methodsAn online survey was sent to surgeons belonging to the Society of American Gastrointestinal and Endoscopic Surgeons via e-mail. Survey items included personal experience with BDI and how injuries were addressed. Statistical analysis was performed to identify factors associated with BDI.
resultsThe survey was sent to 3411 surgeons with 559 complete responses (16.5%). The mean age of respondents was 48.7 years with an average time in practice of 16.1 years. Most respondents (61.2%) had fellowship training. Forty-seven percent of surgeons surveyed experienced a BDI in their career with 17.1% of surgeons experiencing multiple BDIs. The majority of BDIs were identified in the operating room (64.5%); most injuries (66.9%) were repaired immediately. When repair was undertaken immediately, 77.4% of these repairs were performed in an open technique. A majority of surgeons (57.7%) felt that BDIs could theoretically be repaired laparoscopically and 25% of those surgeons had done so in practice. In multivariate logistic regression, any type of fellowship training was associated with a decreased risk of BDI (OR 0.51, 95% CI 0.34-0.76). Compared with those in non-academic practice, surgeons in academic practice were at a significantly decreased risk of having experienced a BDI (OR 0.62, 95% CI 0.42-0.92).
conclusionNearly half of those surveyed, experienced a BDI during a laparoscopic cholecystectomy. Community and private practice setting were associated with an increased risk of BDI, while fellowship training and academic practice setting conferred a protective effect. A majority of surgeons felt that BDI could be repaired laparoscopically and 25% had done so in practice.
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