PMID: 9543519Apr 16, 1998Paper

Common bile duct injuries during laparoscopic cholecystectomy that result in litigation

Surgical Endoscopy
B J CarrollE H Phillips

Abstract

Iatrogenic common bile duct injury is the worst complication of laparoscopic cholecystectomy. The goal of this study is to increase awareness of the problem and educate surgeons about the consequences of these injuries. A total of 46 bile duct injuries were analyzed by review of medical records, cholangiograms, videotapes, and surgeon statements. All cases were involved in malpractice litigation. All types of injuries were represented. There were 15 transections, 11 excisions, 6 lacerations, 8 clip impingements, 3 burns, 2 bile leaks, and 1 cystic duct leak. In all, 72% of these injuries occurred in elective cases in which there was no acute inflammation. Cholangiograms were performed in 16 cases, but they were misinterpreted in 11 of them. Injury type and severity was similar in patients with and without cholangiography. A total of 80% of these injuries were not detected at the initial surgery. The average delay in diagnosis was 10 days. Complications were worse in patients with delayed diagnosis. Primary surgeons had less successful outcomes from repairs than referral surgeons (27% versus 79%). In 86% of cases, litigation was resolved in favor of plaintiffs by settlement or verdicts. The average award was $214,000. Factors th...Continue Reading

Citations

Mar 25, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J Y Tracey, A R Moossa
Feb 22, 2011·Langenbeck's Archives of Surgery·Jerzy LubikowskiMaciej Wójcicki
Jan 29, 2013·Surgical Endoscopy·George BerciWilliam Traverso
Mar 27, 2007·Journal of Hepato-biliary-pancreatic Surgery·Biju PottakkatVinay K Kapoor
Jan 6, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Vui Heng Chong, Chee Fui Chong
Jul 5, 2001·American Journal of Surgery·D RisucciJ Rosser
Feb 13, 2002·American Journal of Surgery·Y D PodnosD K Imagawa
Nov 27, 2002·Medical Hypotheses·M M Moga
Jun 6, 2003·Journal of the American College of Surgeons·Steven M Strasberg, Philip A Ludbrook
Feb 19, 1999·Journal of the American College of Surgeons·T A Bowden
Apr 16, 2002·The British Journal of Surgery·D J Gouma, H Obertop
Aug 10, 2000·The British Journal of Surgery·S R ShahJ A Buckels
Dec 29, 1999·The Australian and New Zealand Journal of Surgery·A de Costa
Mar 29, 2003·ANZ Journal of Surgery·Benjamin N J ThomsonUNKNOWN Universities of Melbourne Hepatobiliary Group
Jun 21, 2002·ANZ Journal of Surgery·K SlaterS V Lynch
Nov 9, 2002·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Arno NordinKrister Höckerstedt
Jun 17, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jason M Pfluke, Steven P Bowers
Aug 29, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Guangjun Suo, Anan Xu
Sep 6, 2000·Annals of Surgery·K D LillemoeC J Yeo
Apr 12, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Eduardo CremaAiodair Martins
Aug 4, 2009·Journal of Gastroenterology and Hepatology·Ian C Roberts-ThomsonGuy J Maddern
Oct 13, 2010·Digestive Surgery·Satu SuuronenHannu Paajanen
Nov 18, 2004·AJR. American Journal of Roentgenology·Alfonso RagozzinoMassimo Imbriaco
Aug 9, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·M Ezzedien Rabie
Jun 28, 2013·World Journal of Radiology·Claudio TanaCosima Schiavone
Apr 27, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·P R de ReuverD J Gouma
Jun 17, 2008·World Journal of Surgery·Eduardo de SantibañesMiguel Ciardullo
Dec 2, 2014·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Ibrahim Abdelkader SalamaTarek Ibrahim
Jun 19, 2014·Surgical Endoscopy·Sophia K McKinleySteven D Schwaitzberg
Apr 1, 2014·The Surgical Clinics of North America·Lygia Stewart
Jul 19, 2011·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Victoria ArdilesEduardo de Santibañes
Oct 10, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Lygia Stewart, Lawrence W Way
Jul 11, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Craig P FischerR Mark Ghobrial
Jul 11, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Pankaj G RoyHugh W Grant
Jul 20, 2010·The Surgical Clinics of North America·Yuhsin V Wu, David C Linehan
Feb 27, 2016·Journal of Minimal Access Surgery·Vinay Kumar Kapoor
Nov 11, 2008·The Surgical Clinics of North America·Kenneth J McPartland, James J Pomposelli
Jan 29, 2008·Journal of the American College of Surgeons·Philip R de ReuverDirk J Gouma

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.