Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases

American Journal of Surgery
D J DezielM C Airan

Abstract

Complications of laparoscopic cholecystectomy were evaluated by a survey of surgical department chairpersons at 4,292 US hospitals. The 77,604 cases were reported by 1,750 respondents. Laparotomy was required for treatment of a complication in 1.2% of patients. The mean rate of bile duct injury (exclusive of cystic duct) was 0.6% and was significantly lower at institutions that had performed more than 100 cases. Bile duct injuries were recognized postoperatively in half of the cases and most frequently required anastomotic repair. Intraoperative cholangiography was practiced selectively by 52% of the respondents and routinely by 31%. Bowel and vascular injuries, which occurred in 0.14% and 0.25% of cases, respectively, were the most lethal complications. Postoperative bile leak was recognized in 0.3% of patients, most commonly originating from the cystic duct. Eighteen of 33 postoperative deaths resulted from operative injury. These data demonstrate that laparoscopic cholecystectomy is associated with low rates of morbidity and mortality but a significant rate of bile duct injury.

References

Feb 1, 1992·American Journal of Surgery·G M LarsonC R Voyles
Mar 1, 1992·Annals of Surgery·A M DavidoffW C Meyers
Dec 11, 1991·Surgical Laparoscopy & Endoscopy·R J FitzgibbonsG M Salerno
Mar 1, 1991·American Journal of Surgery·C R VoylesA M Koury
Mar 1, 1991·American Journal of Surgery·A CuschieriH Troidl
Apr 18, 1991·The New England Journal of Medicine·UNKNOWN Southern Surgeons Club
Jul 1, 1991·American Journal of Surgery·J G Hunter
Aug 1, 1991·Archives of Surgery·J M SackierM Paz-Partlow
Sep 1, 1989·American Journal of Surgery·C K McSherry
Mar 1, 1986·American Journal of Surgery·J B GaneyG R McSwain
Aug 1, 1986·Archives of Surgery·J Pickleman, R P González
Apr 1, 1985·Annals of Surgery·A Andrén-SandbergS Bengmark

❮ Previous
Next ❯

Citations

Mar 1, 1996·Seminars in Surgical Oncology·J S Wolf
Sep 1, 1995·World Journal of Surgery·F P ScholD J Gouma
Jan 1, 1996·World Journal of Surgery·Z Cala
Nov 1, 1995·World Journal of Surgery·S S SikoraS P Kaushik
May 1, 1994·World Journal of Surgery·M R CoxJ Toouli
Jul 1, 1994·Surgical Endoscopy·R L FriedmanC K McSherry
Aug 1, 1993·Annals of Surgery·J M Sackier, G Berci
Sep 1, 1997·Pediatric Surgery International·G M Humphrey, A Najmaldin
May 1, 1994·Diseases of the Colon and Rectum·G M Fuhrman, D M Ota
Jan 1, 1996·Cardiovascular and Interventional Radiology·S M RivitzP B Kelsey
Jul 1, 1996·Irish Journal of Medical Science·G C DurkanP R O'Connell
Dec 1, 1994·Irish Journal of Medical Science·R W ParksG W Johnston
Nov 30, 1999·Irish Journal of Medical Science·T F Gorey, P Papasavas
Aug 9, 2001·Irish Journal of Medical Science·J M KielyP V Delaney
Mar 25, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J Y Tracey, A R Moossa
Oct 13, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·I Leister, H Becker
Oct 19, 2004·European Radiology·Derek LohanJoseph Murphy
Feb 9, 2005·Langenbeck's Archives of Surgery·Isabelle OpitzLukas Krähenbühl
Mar 22, 2007·Langenbeck's Archives of Surgery·Jens G BrockmannHeiner H Wolters
Aug 30, 2008·Langenbeck's Archives of Surgery·Toshihiko ShinoharaKatsuhiko Yanaga
Mar 18, 2004·Surgical Endoscopy·N E SeymourR M Satava
Sep 9, 2006·Surgical Endoscopy·R GonzalezM M Murr
Oct 26, 2006·Surgical Endoscopy·K D Lillemoe
Jul 3, 2008·Surgical Endoscopy·Richard M Vazquez
Dec 11, 2008·Surgical Endoscopy·Anthony G GallagherRichard M Satava
Jun 6, 2008·Surgical Endoscopy·Junji MachiMaurice E Arregui
Jul 30, 2010·Surgical Endoscopy·Nobuyasu KanoDavid Gremillion
Aug 20, 2011·Surgical Endoscopy·Pawanindra LalVinod Kumar Ramteke

❮ 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.