ArticleAnnals of hepato-biliary-pancreatic surgery2020
Bile duct injury during laparoscopic cholecystectomy: An Indian e-survey.
Article in Annals of hepato-biliary-pancreatic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Long-term outcomes and quality of life after surgical repair of benign biliary stricture following bile duct injury during cholecystectomy.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Article
- Prevention of bile duct injury - A bird's eye view.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Review
- Article
- Post-operative complications of cholecystectomy: what the radiologist needs to know.Abdominal radiology (New York) · 2025Review
- Practices in the Management of Incidental Gallbladder Cancer.South Asian journal of cancer · 2024Article
- Four-Year Report of Iatrogenic Bile Duct Injury Repair from a Referral Hepatobiliary Center.Middle East journal of digestive diseases · 2024Article
- Evaluation of cholecystectomy in older individuals using real-world data: a multilevel analysis based on a nationwide administrative database in Japan.Journal of gastroenterology · 2022Article
- Critical view of safety in laparoscopic cholecystectomy: A prospective investigation from both cognitive and executive aspects.Frontiers in surgery · 2022Article
- Effectiveness and Clinical Value of Laparoscopic Cholecystectomy and Cholangiography in the Diagnosis of Biliary Calculi.Frontiers in surgery · 2022Article
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5 authors.
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Abstract
BACKGROUNDS/
aimsIn the absence of national registry of laparoscopic cholecystectomy (LC) or its complications, it is impossible to determine incidence of bile duct injury (BDI) in India. We conducted an e-survey among practicing surgeons to determine prevalence and management patterns of BDI in India. Our hypothesis was that majority of surgeons would have experienced a BDI during LC despite large experience and that most surgeons who have a BDI tend to manage it themselves.
methodsAn 18-question e-survey of practicing laparoscopic surgeons in India was done.
results278/727 (38%) surgeons responded. 240/278 (86%) respondents admitted to a BDI during LC and 179/230 (78%) affirmed to more than one BDI. A total of 728 BDIs were reported. 36/230 (15%) respondents experienced their first BDI even after >10 years of practice and 40% had their first BDI even after having performed >100 LCs. 161/201 (80%) of the respondents decided to manage the BDI themselves, including 56/99 (57%) non-biliary surgeons and 44/82 (54%) surgeons working in non-biliary center. 37/201 (18%) respondents admitted to having a mortality arising out of a BDI; the mortality rate of BDI was 37/728 (5%) in this survey. Only 13/201 (6%) respondents have experienced a medico-legal case related to a BDI during LC.
conclusionsPrevalence of BDI is high in India and occurs despite adequate experience and volume. Even inexperienced non-biliary surgeons working in non-biliary centers attempt to repair the BDI themselves. BDI is associated with significant mortality but litigation rates are fortunately low in India.
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