Common Bile Duct Injury During Laparoscopic Cholecystectomy and the Use of Intraoperative Cholangiography
Archives of SurgeryPublished 1 November 2001
David R. Flum
Citations187
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TL;DR
The rate of CBD injury is significantly lower when IOC is used and this effect is magnified during the early experience of surgeons, suggesting systematic use of IOC may significantly reduce the rate of cannabinoid injury.
Abstract
The rate of CBD injury is significantly lower when IOC is used. This effect is magnified during the early experience of surgeons. Systematic use of IOC may significantly reduce the rate of CBD injury.
Keywords
Medicine
BiometricsLongitudinal Data Analysis for Discrete and Continuous Outcomes
7,834 Citations1986Scott L. Zeger, Kung‐Yee Liang
A class of generalized estimating equations (GEEs) for the regression parameters is proposed, extensions of those used in quasi-likelihood methods which have solutions which are consistent and asymptotically Gaussian even when the time dependence is misspecified as the authors often expect.
New England Journal of MedicineA Prospective Analysis of 1518 Laparoscopic Cholecystectomies
1,434 Citations1991
The results of laparoscopic cholecystectomy compare favorably with those of conventional choleCystectomy with respect to mortality, complications, and length of hospital stay.
Annals of SurgeryManagement of Choledocholithiasis
272 Citations1972Lawrence W. Way, William H. Admirand +1 more
The American Journal of SurgeryAvoidance of bile duct injury during laparoscopic cholecystectomy
245 Citations1991John G. Hunter
If several steps in laparoscopic exposure of the gallbladder, cystic duct, and Calot's triangle do not provide the surgeon with comfortable anatomic orientation, the procedure should be converted to open cholecystectomy.
The American Journal of SurgeryCharacteristics of biliary tract complications during laparoscopic cholecystectomy: A multi-institutional study
191 Citations1994Michael S. Woods, L. William Traverso +5 more
The peak incidence of LC-related biliary injuries appears to have passed, and nonsurgical techniques allow treatment of most simple cystic duct leaks, major ductal leaks and/or strictures, and postoperative BEB strictURES, although follow-up is limited.
Surgical EndoscopyCommon bile duct injuries during laparoscopic cholecystectomy that result in litigation
176 Citations1998B. J. Carroll, M. Birth +1 more
Improved cholangiographic technique and interpretation should decrease injury severity, delays in diagnosis, and subsequent morbidity in Iatrogenic common bile duct injury.
Annals of SurgeryLaparoscopie Cholangiography
176 Citations1992John L. Flowers, Karl A. Zucker +4 more
Routine cholangiography is presently recommended for prevention of biliary injury, detection of stones in the cystic and common ducts, and for training purposes, especially during the learning phase of laparoscopie cholecystectomy.
PubMedBile duct injury during laparoscopic and conventional cholecystectomy.
156 Citations1994Dirk J. Gouma, P M Go
The risk of bile duct injury after laparoscopic cholecystectomy was significantly higher than that found in literature, which probably reflects the fact that the number of "repair procedures" instead of registration of complications (injury) was studied.
The American Journal of SurgeryLaparoscopic cholecystectomy: The European experience
140 Citations1993J Périssat
The techniques of laparoscopic choledochotomy and transcystic exploration for the removal of stones in the common bile duct are only beginning to be used, but they may well prove to be the most popular procedures.
Surgical EndoscopyBiliary tract complications of laparoscopic cholecystectomy are detected more frequently with routine intraoperative cholangiography
107 Citations1995Michael S. Woods, L. William Traverso +8 more
Routine IOC may offer significant potential advantages in the detection and subsequent correction of these injuries, as well as preventing extension of partial ductal incisions to complete ductal transections.
Surgical EndoscopyBile duct injury during laparoscopic cholecystectomyrid
107 Citations2000Juan J. Calvete, Luís Sabater +8 more
No relation was found between the experience of the surgeon and the number of BDI over the different periods of time, and BDI during LC cannot be attributed solely to the learning curve.
British journal of surgeryValue of routine intraoperative cholangiography in detecting aberrant bile ducts and bile duct injuries during laparoscopic cholecystectomy
105 Citations1996E Kullman, Kristian Borch +3 more
Results show that routine intraoperative cholangiography is feasible and provides valuable information about the anatomy of the biliary tract, thereby improving the safety of laparoscopic cholecystectomy and reducing the morbidity associated with a delayed diagnosis.
PubMed[Complications after laparoscopic cholecystectomy].
91 Citations1995K. D. Rupp, K Sturbeck +2 more
Complications of laparoscopic cholecystectomy with minimal access surgery of the gallbladder seems to be affected with more serious complications than open approach.
Australian and New Zealand Journal of SurgeryLAPAROSCOPIC BILIARY INJURY: MORE THAN A LEARNING CURVE PROBLEM
85 Citations1998John A. Windsor, Jeffrey Chiu Fai Pong
It is indicated that iatrogenic biliary injury is a persistent problem in New Zealand, despite increasing experience with LC, and suggests the need for more intensive scrutiny of operative technique and training.
The American Journal of SurgeryRoutine versus selective intraoperative cholangiography
82 Citations1993Edward H Phillips
Routine IOC during laparoscopic cholecystectomy reduces the incidence, level, and severity of bile duct injuries, and eliminates the need for postoperative endoscopic retrograde cholangiopancreatography or endoscopic sphincterotomy in the 1.4% to 3.5% of postoperative patients with abdominal pain or retained stones.
Surgical EndoscopyRoutine cholangiography reduces sequelae of common bile duct injuries
73 Citations1996Brendan J. Carroll, R L Friedman +2 more
Routine cholangiography did not appear to decrease the absolute incidence of bile duct injuries compared to previously published reports, and injury severity, morbidity, late sequelae, and costs were reduced by a policy of routine cholangsiography.
British journal of surgeryBile duct injury during laparoscopic cholecystectomy without operative cholangiography
69 Citations1998Kathy Wright, J M Wellwood
The role of operative cholangiography in the prevention of bile duct injuries is controversial and a prospective audit of biliary injury is presented.
The American Journal of SurgeryIntraoperative cholangiography is not essential to avoid duct injuries during laparoscopic cholecystectomy
54 Citations1995John W. Lorimer, R Fairfull-Smith
World Journal of SurgeryOutcome of 49 repairs of bile duct injuries after laparoscopic cholecystectomy
48 Citations1995F.P. Schol, P. M. N. Y. H. Go +1 more
It was concluded that treatment of bile duct injuries is associated with a high stricture rate at the repair site of the anastomosis, mostly successful for the less severe injury detected during laparoscopic cholecystectomy.
The American Journal of SurgeryMedicolegal analysis of bile duct injury during open cholecystectomy and abdominal surgery
46 Citations1994Kenneth A. Kern
Bile duct injury after open cholecystectomy and abdominal surgery has a high mortality rate when diagnosed late, and is expensive to litigate, and this review may be useful in defining the medicolegal outcome of similar injuries from laparoscopic choleCystectomy.
World Journal of SurgeryMinimizing the risk of bile duct injury at laparoscopic cholecystectomy
41 Citations1994Michael R. Cox, Thomas G. Wilson +3 more
It is concluded that the technique of commencing the dissection on the gallbladder is safe and minimizes the risk of serious common bile duct injury at LC.
The American SurgeonSelective Intraoperative Cholangiography during Laparoscopic Cholecystectomy: How Selective?
33 Citations2000Jonathan Borjeson, Samuel K. M. Liu +2 more
The study shows that intraoperative cholangiography is not necessary for patients undergoing laparoscopic cholecystectomy who have normal liver functions tests, common bile duct diameter less than 10 mm, and no history of gallstone pancreatitis or jaundice.
PubMedCommon bile duct injury during laparoscopic cholecystectomy in Ontario: does ICD-9 coding indicate true incidence?
32 Citations1998Beverley Taylor
The rate of significant bile duct injuries cannot be inferred from nonspecific codes taken from the International Classification of Diseases, ninth revision, and presented in hospital discharge records and must be interpreted with extreme caution.
PubMedDoes routine cystic duct cholangiogram during laparoscopic cholecystectomy prevent common bile duct injury?
24 Citations1993Abdelkader Hawasli
To avoid the problem of common bile duct injury in cases of obscure anatomy where clarification was needed, a cholecystocholangiogram was done for duct identification in three subsequent cases without event.
British journal of surgeryLaparoscopic cholangiography: a prospective study
23 Citations1998Atul J. Sabharwal, Eunice J Minford +4 more
The aim of this study was to evaluate laparoscopic cholangiography and compare use of a portable C‐arm image intensifier with conventional radiography.
PubMedAvoiding serious complications in laparoscopic cholecystectomy--lessons learned from an experience of 2428 cases.
9 Citations1996Chen Xr, Lou D +5 more
It is thought that laparoscopic cholecystectomy is safe for patients with benign disease of the gallbladder and based on the experience, it is likely that this procedure is also safe for women with high-risk pregnancies.