Navigation Links
Higher incidence of bile duct injury during laparoscopic cholecystectomy

Laparoscopic cholecystectomy (LC) has rapidly substituted traditional cholecystectomy, and represents the gold standard for surgical treatment of cholelithiasis. Bile duct injury (BDI) remains the most serious //complication of cholecystectomy. According to a recent survey, published in the October issue of the journal Archives of Surgery, the incidence of BDI has become more frequent with LC. The study verifies the current incidence, mechanism, presentation, and treatment of BDI occurring during LC in general surgical practice. The authors report the results of a recently performed multicenter national survey to provide an up-to-date assessment of the rate, causes, clinical manifestations, and treatment of BDI in 56, 591 patients who underwent LC between January 1, 1998, and December 31, 2000, in 184 hospitals in Italy. Out of these, 235 BDIs were reported, with an overall incidence of 0.42%. There were no risk factors in 80.0% of the patients.

Poor identification of the anatomical features of the hepatic pedicle was the most frequently reported cause (36.8%), and technical problems accounted for 27.0% of causes. The incidence of BDI was higher during cholecystitis (P<.001) and decreased with increasing number of LCs performed by the surgical teams (P<.01). There was no difference in incidence according to technique (French or US) or to routine or selective intraoperative cholangiography.

One hundred eight BDIs (46.0%) were recognized intraoperatively and immediately repaired in 89.8% of patients. One hundred twenty-seven BDIs (54.0%) were diagnosed postoperatively, the dominant manifestation being biliary fistula (44.1%).

This study confirms a higher incidence of BDI during LC. It highlights the relevance of the number of previously performed LCs and of the correct surgical technique to avoid BDI. The need for correct procedures, adequate expertise of the repairing surgeon in BDI repairs, and a multidisciplinary approach in the man agement of BDI is emphasized.
'"/>




Related medicine news :

1. Higher Risk of Asthma in children with autoimmune disease
2. Death Risk Higher in Obese Women with Colon Cancer
3. Women With Diabetes Have a Higher Risk of Depression
4. Individuals Born In May At A Higher Risk Of Developing Multiple Sclerosis
5. Higher Statin Dose Safely Reduces Stroke and Cardiac Arrest
6. Premature Babies More Likely If Women Have Higher Protein Albumin In Urine
7. HIV Infection Higher In Drug Trafficking Countries
8. Math Learning Disorder Higher in Boys
9. Math Learning Disorder Higher In Boys
10. Tall Children Have An Higher IQ
11. Higher Rates Of Diabetes Found Among The Poor
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/23/2017)... ... ... Studies show evidence that carotenoids and antioxidants derived either from the diet or from ... how often do ophthalmologists and optometrists in Sweden recommend the use of nutritional supplements, ... symptoms of AMD? A study published recently in Dove Medical Press journal, ...
(Date:6/23/2017)... ... June 23, 2017 , ... Dr. Ran ... York, has recently begun offering three new minimally invasive procedures to patients who ... and reducing downtime, Dr. Rubinstein is excited to bring microneedling, microneedling facials, and ...
(Date:6/23/2017)... ... June 23, 2017 , ... Everybody has their own ... others prefer to read it, and some people don't like it at all. FindaTopDoc ... what they found: , Erotic literature can give readers a taste of their deepest, ...
(Date:6/23/2017)... Beverly Hills, CA (PRWEB) , ... June 23, 2017 , ... ... deep plane facelift . Dr. Talei has come up with a proprietary technique ... wrinkles—it releases and lifts tissues that have dropped. For all ages, patients can expect ...
(Date:6/23/2017)... ... June 23, 2017 , ... ... Conference from Sept. 18 to 20. , The two-day conference is focused on ... the goal of improving patients’ lives and eliminating racial breast cancer-related disparities. The ...
Breaking Medicine News(10 mins):
(Date:6/8/2017)... , June 8, 2017  Less than a month ... more than 200,000 companies, including hospital networks, in over ... as one of the largest online extortion attempts ever ... healthcare market, it is imperative that providers understand where ... data from this — and many other very real ...
(Date:6/7/2017)... 2017  Novavax, Inc., (Nasdaq: NVAX ) today ... trials of its RSV F protein recombinant nanoparticle vaccine candidate ... been published in the journal Vaccine ... prior scientific conferences). The Company previously announced top line ... developing the RSV F Vaccine with the goal of protecting ...
(Date:6/3/2017)... , June 3, 2017  Eli Lilly and ... that results from the Phase 3 MONARCH 2 ... & 6 inhibitor, in combination with fulvestrant, significantly ... fulvestrant alone in women with hormone-receptor-positive (HR+), human ... cancer who have relapsed or progressed after endocrine ...
Breaking Medicine Technology: