Bile duct injuries in laparoscopic cholecystectomy. A computerized analysis of 148 lesions in 24,440 operations in 89 Hungarian institutes (publication by the Hungarian Society of Surgery)

The authors analyse the etiology, diagnosis, symptoms, treatment and outcome of 148 biliary tract injuries in connection with 26,440 laparoscopic cholecystectomies performed in Hungary. In univariant analysis, the type of injury, the primary treatment modality did not affect the outcome of injury or...

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Bibliographic Details
Published inLangenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress Vol. 113; p. 600
Main Authors Regöly-Mérei, J, Ihász, M
Format Journal Article
LanguageGerman
Published Germany 1996
Subjects
Bile Ducts - injuries
Cholecystectomy, Laparoscopic - instrumentation
Diagnosis, Differential
Humans
Hungary
Intraoperative Complications - etiology
Intraoperative Complications - surgery
Multivariate Analysis
Postoperative Complications - etiology
Postoperative Complications - surgery
Prognosis
Reoperation
Hungary
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Summary:The authors analyse the etiology, diagnosis, symptoms, treatment and outcome of 148 biliary tract injuries in connection with 26,440 laparoscopic cholecystectomies performed in Hungary. In univariant analysis, the type of injury, the primary treatment modality did not affect the outcome of injury or the necessity of reoperation; in multivariant analysis, the outcome is significantly influenced adversely by the necessity of repeated interventions and higher age. Disturbances in the identification of anatomic structures lead significantly to more main bile duct injuries than lesions in the region of the cystic duct and cause more complete trans-sections than partial lesions.
ISSN:0942-2854