http://www.cnr.it/ontology/cnr/individuo/prodotto/ID181492

Bile duct injury during laparoscopic cholecystectomy - Results of an Italian national survey on 56,591 cholecystectomies. (Articolo in rivista)

Type

Prodotto della ricerca (Classe)
Articolo in rivista (Classe)

Label

Bile duct injury during laparoscopic cholecystectomy - Results of an Italian national survey on 56,591 cholecystectomies. (Articolo in rivista) (literal)

Anno

2005-01-01T00:00:00+01:00 (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi

10.1001/archsurg.140.10.986 (literal)

Alternative label

Nuzzo G; Giuliante F; Giovannini Ivo; Ardito F; D'Acapito F; Vellone M; Murazio M; Capelli G. (2005)
Bile duct injury during laparoscopic cholecystectomy - Results of an Italian national survey on 56,591 cholecystectomies.
in Archives of surgery (Chicago, 1960); American Medical Association (AMA), Chicago (Stati Uniti d'America)
(literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori

Nuzzo G; Giuliante F; Giovannini Ivo; Ardito F; D'Acapito F; Vellone M; Murazio M; Capelli G. (literal)

Pagina inizio

986 (literal)

Pagina fine

992 (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#altreInformazioni

The article is available on line from the web site of this American journal, or in the printed issue. Archives of Surgery is one of the best rated journals of general surgery. (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#url

http://archsurg.ama-assn.org/cgi/reprint/140/10/986 (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume

140 (literal)

Rivista

Archives of surgery (Rivista)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#pagineTotali

7 (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroFascicolo

10 (literal)

Note

ISI Web of Science (WOS) (literal)
Scopu (literal)
PubMe (literal)

Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni

Dept of Surgical Sciences, Hepatobiliary Surgery Unit, Catholic University, Rome, Italy (literal)

Titolo

Bile duct injury during laparoscopic cholecystectomy - Results of an Italian national survey on 56,591 cholecystectomies. (literal)

Abstract

Hypothesis: Bile duct injury (BDI) remains the most serious complication of cholecystectomy. With laparoscopic cholecystectomy (LC), the incidence has become more frequent. This study verifies the current incidence, mechanism, presentation, and treatment of BDI occurring during LC in general surgical practice. Design: Anonymous retrospective multicenter survey. Setting: Department of surgery at a university referral center, collecting data from general surgical units. Patients: Data from 56 591 patients who underwent LC between January 1, 1998, and December 31, 2000, in 184 hospitals in Italy were analyzed. Main Outcome Measures: Current incidence, mechanism, presentation, and treatment of BDI occurring during LC in general surgical practice. Results: Two hundred thirty-five 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%). Conclusions: 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 management of BDI is emphasized. (literal)

Editore