Asian Race/Ethnicity as a Risk Factor for Bile Duct Injury During Cholecystectomy

被引：12

作者：

Downing, Stephanie R. ^{[1
,2
]}

Datoo, Ghazala ^{[1
]}

Oyetunji, Tolulope A. ^{[2
]}

Fullum, Terrence ^{[2
]}

Chang, David C. ^{[1
,2
]}

Ahuja, Nita ^{[1
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21287 USA

[2] Howard Univ, Coll Med, Washington, DC USA

来源：

ARCHIVES OF SURGERY | 2010年 / 145卷 / 08期

关键词：

LAPAROSCOPIC CHOLECYSTECTOMY;

D O I：

10.1001/archsurg.2010.131

中图分类号：

R61 [外科手术学];

学科分类号：

100210 [外科学];

摘要：

Iatrogenic bile duct injury (BDI) is an uncommon but serious complication of cholecystectomy, with identified risk factors of acute cholecystitis, male sex, older age, and aberrant biliary anatomy. The Nationwide Inpatient Sample (1998-2006) was queried for cholecystectomy performed on hospital day 0 or 1. Bile duct injury repair procedure codes were used as a surrogate for BDI. We identified 377 424 patients who underwent cholecystectomy, with 1124 BDIs (0.3%). On multivariate logistic regression analysis, Asian race/ethnicity was a significant risk factor for BDI (odds ratio [OR], 2.26; 95% confidence interval [CI], 1.59-3.23; P<.001). This persisted for laparoscopic (OR, 2.62; 95% CI, 1.28-5.39; P=.009) and open (2.21; 1.59-3.07; P<.001) cholecystectomies. No other race/ethnicity was identified as a risk factor for BDI. We report a new finding that Asian race/ethnicity is a significant risk factor for BDI in laparoscopic and open cholecystectomies. Arch Surg. 2010;145(8):785-787

引用

页码：785 / 787

页数：3

共 13 条

[1]

ANDRENSANDBERG A, 1985, ANN SURG, V201, P328

[2]

Variations of the cystic artery in Chinese adults [J].

Chen, TH ;

Shyu, JF ;

Chen, CH ;

Ma, KH ;

Wu, CW ;

Lui, WY ;

Liu, JC .

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2000, 10 (03) :154-157

[3]

COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY - A NATIONAL SURVEY OF 4,292 HOSPITALS AND AN ANALYSIS OF 77,604 CASES [J].

DEZIEL, DJ ;

MILLIKAN, KW ;

ECONOMOU, SG ;

DOOLAS, A ;

KO, ST ;

AIRAN, MC .

AMERICAN JOURNAL OF SURGERY, 1993, 165 (01) :9-14

[4]

Is inflammation a significant predictor of bile duct injury during laparoscopic cholecystectomy? [J].

Georgiades, Christos P. ;

Mavromatis, Theodoros N. ;

Kourlaba, Georgia C. ;

Kapiris, Stylianos A. ;

Bairamides, Eugenios G. ;

Spyrou, Andreas M. ;

Kokkinos, Charalambos N. ;

Spyratou, Christina S. ;

Ieronymou, Marios I. ;

Diamantopoulos, Georgios I. .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2008, 22 (09) :1959-1964

[5]

Is male gender a risk factor for bile duct injury during laparoscopic cholecystectomy? [J].

Grönroos, JM ;

Hämäläinen, MT ;

Karvonen, J ;

Gullichsen, R ;

Laine, S .

LANGENBECKS ARCHIVES OF SURGERY, 2003, 388 (04) :261-264

[6]

Risk factors for bile duct injury during laparoscopic cholecystectomy: A case-control study [J].

Kholdebarin, Ramin ;

Boetto, Jonathan ;

Harnish, Julie L. ;

Urbach, David R. .

SURGICAL INNOVATION, 2008, 15 (02) :114-119

[7]

Laparoscopic cholecystectomy for acute cholecystitis: Is it really safe? [J].

Kum, CK ;

Eypasch, E ;

Lefering, R ;

Paul, A ;

Neugebauer, E ;

Troidl, H .

WORLD JOURNAL OF SURGERY, 1996, 20 (01) :43-49

[8]

MANAGEMENT OF BILE-DUCT INJURIES AND STRICTURES FOLLOWING CHOLECYSTECTOMY [J].

RAUTE, M ;

PODLECH, P ;

JASCHKE, W ;

MANEGOLD, BC ;

TREDE, M ;

CHIR, B .

WORLD JOURNAL OF SURGERY, 1993, 17 (04) :553-562

[9]

OPEN CHOLECYSTECTOMY - A CONTEMPORARY ANALYSIS OF 42,474 PATIENTS [J].

ROSLYN, JJ ;

BINNS, GS ;

HUGHES, EFX ;

SAUNDERSKIRKWOOD, K ;

ZINNER, MJ ;

CATES, JA .

ANNALS OF SURGERY, 1993, 218 (02) :129-137

[10]

RISK-FACTORS FOR BILE-DUCT INJURY IN LAPAROSCOPIC CHOLECYSTECTOMY - ANALYSIS OF 49 CASES [J].

SCHOL, FPG ;

GO, PMNYH ;

GOUMA, DJ .

BRITISH JOURNAL OF SURGERY, 1994, 81 (12) :1786-1788

← 1 2 →