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Bile duct injuries during laparoscopic cholecystectomy: a 1994–2001 audit on 13,718 operations in the area of Rome



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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Correspondence to P. Gentileschi.

Additional information

(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).

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  • Cholecystectomy
  • Laparoscopic/adverse effects
  • Bile duct/injuries
  • Multicenter studies