Is inflammation a significant predictor of bile duct injury during laparoscopic cholecystectomy?

Georgiades, Christos P.; Mavromatis, Theodoros; Kourlaba, Georgia; Kapiris, Stylianos; Bairamides, Eugenios G.; Spyrou, Andreas M.; Kokkinos, Constantinos; Spyratou, Christina; Ieronymou, M.; Diamantopoulos, Georgios

doi:10.1007/s00464-008-9943-7

Cited by 55 publications

(39 citation statements)

References 26 publications

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“…Bile duct injury has been classified into 4 types. Another classification is low and high grade, depending when the leaks were identified during contrast injecton (14). Bile leaks rate is 0.3-1.35 %.…”

Section: Discussionmentioning

confidence: 99%

The clinical outcome of traditional laparoscopic cholecystectomy

Duman¹,

Sezer²,

Yılmaz³

et al. 2013

Gaziantep Med J

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Laparoscopic cholecystectomy is a safety, efficacy,established method for the treatment of symptomatic gallstone disease. We aim to share traditional laparoscopic cholesistectomy experience and complications that treated with experienced surgeons in low-volume hospitals. This study was performed during the period of 2009-2011 in three hospital. We analyzed retrospectively 266 patients, who were operated elective by three surgeon whose experiences were closely. We compared demographic data, patients age, gender, number of ports, operation time, length of hospital stay, whether or not previous abdominal surgery, whether or not systemic disease, whether or not has been performed ERCP, reason of converted from laparoscopic to open cholecystectomy and complications. 266 [165 (%72,6) female and 101 (%27,4) male] patients evaluated retrospectively. The average age was 42,6 (range 27-42). The average duration of operation was 45 minutes (range 35-72). The operation was performed by using four ports in 195 (73,3%) patients and by using three ports in 71 (26,7%) patients. 25 (9,4%) patients had intra-abdominal drainage. ERCP was performed preoperatively in 5 (9,4%) patients. We convert open cholecystectomy in6 (2,3%) patients, due to bleeding, in 4 patients (1,5%) due to anatomical mismatch, 3 patients (1,1%) due to adhesions and difficult technical conditions. Laparoscopic cholecystectomy can be performed seamlessly with appropriate patient selection in low-volume hospitals, We believe that multidisciplinary approach was a priority in case with complications, it will be useful in terms of patient morbidity and mortality. Keywords: Cholecystectomy; laparoscopic; clinical outcome. ÖzetMorbiditesi %0,1 lere kadar indirilen, düşük volümlü hastanelerde uygulanabilen, ciddi komplikasyonları ancak tecrübeli cerrahlarca tedavi edilen geleneksel LK tecrübelerimizi, komplikasyonlarımızı, ne seviyede olduğumuzu görmeyi ve paylaşmayı amaçladık. Ocak 2008-Haziran 2011 tarihleri arasında 3 ayrı merkezde, 3 ayrı laparoskopik tecrübeleri birbirine yakın cerrah tarafından elektif şartlarda yapılan Laparoskopik Kolesistektomi olgularının pre-intra-post operatif bulgularına ulaşılarak, demografik verileri, operasyon endikasyonları, operasyon şekli (port sayısı, süresi), daha önce operasyon geçirip geçirmediği, Sistemik bir hastalığı olup olmadığı, hastanede yatma süreleri, açığa dönüş sebepleri, ERCP yapılıp yapılmadığı, görülen komplikasyonlar retrospektif olarak incelendi. 165 (%72.6)' i kadın, 101 (%27.4)' i erkek 266 hasta dosyası retrospektif olarak incelendi. Yaş ortalaması 42.6 yıl (range:24-72) idi. Ortalama operasyon süresi 45 dakika (range:30-75) bulundu. 71 (%26.7) hastada 3 port, 195 (%73,3) hasta 4 port kullanılarak operasyon gerçekleştirildi. 25 (%9.4) hastaya batın içi dren kondu. 5 (%9.4) hastaya preoperatif olarak ERCP yapılmış, 6 (%2.3) hasta daha önce üst batın, 31(%11.7) hasta da alt batın operasyonu geçirmiş olduğu bulundu. 6 (%2.3) hastada kanama, 4 hastada (%1.5) anatominin ortaya konamaması (anatomik uyums...

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Section: Discussionmentioning

confidence: 99%

The clinical outcome of traditional laparoscopic cholecystectomy

Duman¹,

Sezer²,

Yılmaz³

et al. 2013

Gaziantep Med J

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“…It is now widely accepted that the inflammatory status of the gallbladder or the presence of stone migration are risk factors for complications (1). Georgiades et al (25) suggested an independent relationship between inflammation and bile duct injury. Cheema et al (26) reported a higher incidence of bile duct injury among patients who underwent delayed LC because of fibrosis and adhesions.…”

Section: Mostmentioning

confidence: 99%

Surgical outcomes of laparoscopic cholecystectomy in scleroatrophic gallbladders

AKOGLU¹,

ERCAN²,

BOSTANCI³

et al. 2010

Turk J Gastroenterol

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“…1,2 Though a recent publication describes a decreasing rate of CBDI associated with laparoscopic cholecystectomy, 3 CBDI remains a serious concern for patients and surgeons. Despite studies identifying patient 1,4,5 and surgeon-related [5][6][7] factors associated with CBDI including inflammation and conversion to open cholecystectomy, approximately 30% of CBDI are not identified during the index operation 8 and may not be recognized until several days after the initial injury.…”

Section: Introductionmentioning

confidence: 99%

Comparing early and delayed repair of common bile duct injury to identify clinical drivers of outcome and morbidity

Kirks

Barnes

Lorimer

et al. 2016

HPB

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Is inflammation a significant predictor of bile duct injury during laparoscopic cholecystectomy?

Abstract: We revealed that inflammation is an independent predictor of BDI occurrence during LC. Therefore, it would be advisable for surgeons to not hesitate to convert a LC to an OC in the presence of inflammation.

Cited by 55 publications

References 26 publications

The clinical outcome of traditional laparoscopic cholecystectomy

The clinical outcome of traditional laparoscopic cholecystectomy

Surgical outcomes of laparoscopic cholecystectomy in scleroatrophic gallbladders

Comparing early and delayed repair of common bile duct injury to identify clinical drivers of outcome and morbidity

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