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

被引：27

作者：

Gentileschi, P ^{[1
]}

Di Paola, M ^{[1
]}

Catarci, M ^{[1
]}

Santoro, E ^{[1
]}

Montemurro, L ^{[1
]}

Carlini, M ^{[1
]}

Nanni, E ^{[1
]}

Alessandroni, L ^{[1
]}

Angeloni, R ^{[1
]}

Benini, B ^{[1
]}

Cristini, F ^{[1
]}

Dalla Torre, A ^{[1
]}

De Stefano, C ^{[1
]}

Gatto, A ^{[1
]}

Gossetti, F ^{[1
]}

Manfroni, S ^{[1
]}

Mascagni, P ^{[1
]}

Masoni, L ^{[1
]}

Montalto, G ^{[1
]}

Polito, D ^{[1
]}

Puce, E ^{[1
]}

Silecchia, G ^{[1
]}

Terenzi, A ^{[1
]}

Valle, M ^{[1
]}

Vita, S ^{[1
]}

Zanarini, T ^{[1
]}

机构：

[1] Grp Laparoscop Romano, Lap Grp Roma, I-00161 Rome, Italy

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2004年 / 18卷 / 02期

关键词：

cholecystectomy; laparoscopic/adverse effects; bile duct/injuries; multicenter studies;

D O I：

10.1007/s00464-003-8815-4

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：232 / 236

页数：5

共 28 条

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