Evidence map›Paper›PMID 34830520›Full record

ArticleJournal of clinical medicine2021

Injuries during Laparoscopic Cholecystectomy: A Scoping Review of the Claims and Civil Action Judgements.

Roberto Cirocchi, Laura Panata, Ewen A Griffiths, Giovanni D Tebala, Massimo Lancia, Piergiorgio Fedeli, Augusto Lauro, Gabriele Anania, Stefano Avenia, Salomone Di Saverio and 3 more

Abstract readScoping Review
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Bile Duct Injury and Litigation in Laparoscopic Cholecystectomy: A Global Review of Current and Future Preventative Initiatives.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Roberto CirocchiDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy.ORCID 0000-0002-2457-0636
Laura PanataLegal Medicine and Insurance Office, Santa Maria della Misericordia Hospital, 06129 Perugia, Italy.
Ewen A GriffithsDepartment of Upper Gastrointestinal Surgery, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Trust, Birmingham B15 2GW, UK.
Giovanni D TebalaSurgical Emergency Unit, John Radcliffe Hospital, Oxford University NHS Foundation Trust, Oxford OX3 9DU, UK.
Massimo LanciaDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy.
Piergiorgio FedeliSchool of Law, Legal Medicine, University of Camerino, 62032 Camerino, Italy.ORCID 0000-0003-2287-2582
Augusto LauroDepartment of Surgical Sciences, Hospital "Policlinico Umberto I", "Sapienza" University of Rome, 00161 Rome, Italy.
Gabriele AnaniaDepartment of Medical Science, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0001-9255-3312
Stefano AveniaDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy.
Salomone Di SaverioDepartment of General Surgery, ASUR Marche, AV5, Hospital of San Benedetto del Tronto, 63074 San Benedetto del Tronto, Italy.
Gloria BuriniDepartment of General and Emergency Surgery, Hospital "Ospedali Riuniti di Ancona", 60126 Ancona, Italy.ORCID 0000-0003-0907-4965
Angelo De SolDepartment of General Surgery, St. Maria Hospital, 05100 Terni, Italy.
Anna Maria VerdelliLegal Medicine and Insurance Office, Santa Maria della Misericordia Hospital, 06129 Perugia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo define what type of injuries are more frequently related to medicolegal claims and civil action judgments.

methodsWe performed a scoping review on 14 studies and 2406 patients, analyzing medicolegal claims related to laparoscopic cholecystectomy injuries. We have focalized on three phases associated with claims: phase of care, location of injuries, type of injuries.

resultsThe most common phase of care associated with litigation was the improper intraoperative surgical performance (47.6% ± 28.3%), related to a "poor" visualization, and the improper post-operative management (29.3% ± 31.6%). The highest rate of defense verdicts was reported for the improper post-operative management of the injury (69.3% ± 23%). A lower rate was reported in the incorrect presurgical assessment (39.7% ± 24.4%) and in the improper intraoperative surgical performance (21.39% ± 21.09%). A defense verdict was more common in cystic duct injuries (100%), lower in hepatic bile duct (42.9%) and common bile duct (10%) injuries.

conclusionsDuring laparoscopic cholecystectomy, the most common cause of claims, associated with lower rate of defense verdict, was the improper intraoperative surgical performance. The decision to take legal action was determined often for poor communication after the original incident.

Indexed as

biliary injurylaparoscopic cholecystectomylegal practicelitigationpostoperative complications

Identifiers

PMID34830520
PMCPMC8622805

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Registered trials

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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.