Bile duct injuries associated with laparoscopic and open cholecystectomy: An 11-year experience in one institute

被引：40
作者：
Diamantis, T [1 ]
Tsigris, C [1 ]
Kiriakopoulos, A [1 ]
Papalambros, E [1 ]
Bramis, J [1 ]
Michail, P [1 ]
Felekouras, E [1 ]
Griniatsos, J [1 ]
Rosenberg, T [1 ]
Kalahanis, N [1 ]
Giannopoulos, A [1 ]
Bakoyiannis, C [1 ]
Bastounis, E [1 ]
机构：
[1] Univ Athens, Sch Med, Laiko Hosp, Dept Surg 1, GR-11527 Athens, Greece
来源：
SURGERY TODAY | 2005年 / 35卷 / 10期
关键词：
laparoscopic cholecystectomy; learning curve for laparoscopic cholecystectomy; open cholecystectomy; bile duct injury;
D O I：
10.1007/s00595-005-3038-z
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Purpose. Bile duct injury (BDI) represents the most serious complication of laparoscopic cholecystectomy (LC). The aim of this retrospective single-institution study was to evaluate the real incidence of BDI during laparoscopic and open cholecystectomy (OC) in a tertiary academic center in Athens, Greece. Methods. Between January 1991 and December 2001, 3637 patients underwent cholecystectomy in our department; as LC in 2079 patients (LC group) and as OC in 1558 patients (OC group). All the LCs were performed or supervised by five staff surgeons and all the OCs were performed or supervised by another five staff surgeons. Results. There were 13 BDIs associated with LC (0.62%) and 6 associated with OC (0.38%) (P = 0.317). There was one death associated with BDI after LC. Only two (15.4%) of the BDIs associated with LC occurred within the proposed learning curve limit of 50 LCs per individual surgeon. Conclusion. Laparoscopic cholecystectomy is safe and is not associated with a higher incidence of BDI than OC. Moreover, we did not find that the learning curve for LC affected BDI occurrence.
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页码：841 / 845
页数：5
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