Bile duct injuries (BDIs) during laparoscopic cholecystectomy (LC) still are reported with greater frequency than during open cholecystectomy (OC).
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).
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.
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.
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(T. Zanarini) Other members that actively participated in this multicenter study are: C. Allegri, Ospedale Cristo Re, Roma; D. Antonellis, Ospedale S. Giuseppe, Marino; N. Basso, Università La Sapienza, Roma; F. Cancrini, Ospedale S. Carlo di Nancy, Roma; G. Cucchiara, Ospedale Fatebenefratelli, Roma; A. Garofalo, Ospedale S. Camillo Forlanini, Roma; A.L. Gaspari, Università Tor Vergata, Roma; M. Lombardi, Ospedale CTO, Roma; G. Massi, Ospedale S. Camillo Forlanini, Roma; R. Marrese, G.B. Grassi, Ospedale S. Filippo Neri, Roma; V. Mazzucato, M. Mulieri, Ospedale Nuovo Regina Margherita, Roma; A. Montori, Università La Sapienza, Roma; A. Moraldi, Ospedale S. Giacomo, Roma; G. Pasquini, Ospedale Civile, Velletri; E. Santoro, Istituto Regina Elena, Roma; F. Scutari, Ospedale S. Spirito, Roma; R. Tersigni, Ospedale S. Camillo Forlanini, Roma; C.E. Vitelli, Ospedale Madre G. Vannini, Roma; F. Zaraca, M. Carboni, Università La Sapienza, Roma
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Gentileschi, P., Di Paola, M., Catarci, M. et al. Bile duct injuries during laparoscopic cholecystectomy: a 1994–2001 audit on 13,718 operations in the area of Rome. Surg Endosc 18, 232–236 (2004). https://doi.org/10.1007/s00464-003-8815-4
- Laparoscopic/adverse effects
- Bile duct/injuries
- Multicenter studies