Predicting iatrogenic gall bladder perforation during laparoscopic cholecystectomy: a multivariate logistic regression analysis of risk factors

ANZ Journal of Surgery
Kamran MohiuddinM A Memon

Abstract

Seventeen independent risk factors were examined using multivariate logistic regression analysis to develop a profile of patients most likely at risk from iatrogenic gall bladder perforation (IGBP) during laparoscopic cholecystectomy. Since 1989, a prospectively maintained database on 856 (women, 659; men, 197) consecutive laparoscopic cholecystectomies by a single surgeon (R. J. F.) was analysed. The mean age was 48 years (range, 17-94 years). The mean operating time was 88 min (range, 25-375 min) and the mean postoperative stay was 1 day (range, 1-24 days). There were 311 (women, 214; men, 97) IGBP. Seventeen independent variables, which included sex, race, history of biliary colic, dyspepsia, history of acute cholecystitis, acute pancreatitis and jaundice, previous abdominal surgery, previous upper abdominal surgery, medical illness, use of intraoperative laser or electrodiathermy, performance of intraoperative cholangiogram, positive intraoperative cholangiogram, intraoperative common bile duct exploration, presence of a grossly inflamed gall bladder as seen by the surgeon intraoperatively and success of the operation, were analysed using multivariate logistic regression for predicting IGBP. Multivariate logistic regression...Continue Reading

Citations

Nov 3, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Suk Won SuhYoo Shin Choi
Sep 1, 2007·Current Opinion in Gastroenterology·Field F Willingham, William R Brugge
May 23, 2016·Journal of Surgical Education·Hadia MaqsoodSteven C Cunningham
Jun 4, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Azadeh Jabbari NooghabiAli Jangjoo
Nov 2, 2017·The Indian Journal of Surgery·Ayman El NakeebMohamed M A Alsayed

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