Background: Bile duct injuries (BDIs) during laparoscopic cholecystectomy (LC) still are reported with greater frequency than during open cholecystectomy (OC).Methods: In 1999, a retrospective study evaluating the incidence of BDIs during LC in the area of Rome from 1994 to 1998 (group A) was performed. In addition, a prospective audit was started, ending in December 2001 (group B).Results: In group A, 6,419 LCs were performed (222 were converted to OC; 3.4%). In group B, 7,299 LCs were performed (225 were converted to OC; 3.1%). Seventeen BDIs (0.26%) occurred in group A and 16 (0.22%) in group B. Overall, mortality and major morbidity rates were 12.1% and 30.3%, respectively, without significant differences between the two groups.Conclusions: The incidence and clinical relevance of BDIs during LC in the area of Rome appeared to be stable over the past 8 years and were not influenced by the use of a prospective audit, as compared with a retrospective survey.

Gentileschi, P., Di Paola, M., Catarci, M., Santoro, E., Montemurro, L., Carlini, M., et al. (2004). Bile duct injuries during laparoscopic cholecystectomy: A 1994-2001 audit on 13,718 operations in the area of Rome. SURGICAL ENDOSCOPY, 18(2), 232-236 [10.1007/s00464-003-8815-4].

Bile duct injuries during laparoscopic cholecystectomy: A 1994-2001 audit on 13,718 operations in the area of Rome

Gentileschi P.;Alessandroni L.;De Stefano C.;Polito D.;
2004

Abstract

Background: Bile duct injuries (BDIs) during laparoscopic cholecystectomy (LC) still are reported with greater frequency than during open cholecystectomy (OC).Methods: In 1999, a retrospective study evaluating the incidence of BDIs during LC in the area of Rome from 1994 to 1998 (group A) was performed. In addition, a prospective audit was started, ending in December 2001 (group B).Results: In group A, 6,419 LCs were performed (222 were converted to OC; 3.4%). In group B, 7,299 LCs were performed (225 were converted to OC; 3.1%). Seventeen BDIs (0.26%) occurred in group A and 16 (0.22%) in group B. Overall, mortality and major morbidity rates were 12.1% and 30.3%, respectively, without significant differences between the two groups.Conclusions: The incidence and clinical relevance of BDIs during LC in the area of Rome appeared to be stable over the past 8 years and were not influenced by the use of a prospective audit, as compared with a retrospective survey.
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/18
English
cholecystectomy; laparoscopic/adverse effects; bile duct/injuries; multicenter studies; Aged; Bile Ducts; Cholecystectomy; Cholecystectomy, Laparoscopic; Cholelithiasis; Female; Follow-Up Studies; Humans; Incidence; Intraoperative Complications; Jejunum; Liver; Male; Medical Audit; Middle Aged; Prospective Studies; Retrospective Studies; Rome; Surveys and Questionnaires
Gentileschi, P., Di Paola, M., Catarci, M., Santoro, E., Montemurro, L., Carlini, M., et al. (2004). Bile duct injuries during laparoscopic cholecystectomy: A 1994-2001 audit on 13,718 operations in the area of Rome. SURGICAL ENDOSCOPY, 18(2), 232-236 [10.1007/s00464-003-8815-4].
Gentileschi, P; Di Paola, M; Catarci, M; Santoro, E; Montemurro, L; Carlini, M; Nanni, E; Alessandroni, A; Angeloni, R; Benini, B; Cristini, F; Dalla Torre, A; De Stefano, C; Gatto, A; Gossetti, F; Manfroni, S; Mascagni, P; Masoni, L; Montalto, G; Polito, D; Puce, E; Silecchia, G; Terenzi, A; Valle, M; Vita, S; Zanarini, T
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/243241
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