Bile Duct Injury During Cholecystectomy and Survival in Medicare Beneficiaries

Abstract

Context Common bile duct (CBD) injury during cholecystectomy is a significant source of patient morbidity, but its impact on survival is unclear. Objective To demonstrate the relation between CBD injury and survival and to identify the factors associated with improved survival among Medicare beneficiaries.

Predictors of outcome after reconstructive hepaticojejunostomy for post cholecystectomy bile duct injuries

“…BDIs may hence lead to prolonged morbidity, high costs, and an impaired quality of life. [1][2][3] An optimization of the management strategy can reduce these complications.…”

Quality-of-life after bile duct injury: intraoperative detection is crucial. A national case-control study

“…[1][2][3][4][5][6] The variation in frequency in the literature is mainly due to various ways of defining a BDI, i.e. if leakage from the cystic duct and liver bed is classified as a bile duct injury or not.…”

Intraoperative cholangiography in the laparoscopic cholecystectomy era: why are we still debating?

“…BDI causes serious consequences for the patient, which is compounded by any delay in the recognition of an insult or if a repair is attempted by an inexperienced surgeon [33]. Several authors have reported alarming outcomes for BDI repair, and in some series, mortality and morbidity for biliodigestive reconstruction after injury are as high as 8.6 % and 42 % respectively [34].…”