Risk factors for litigation following major transectional bile duct injury sustained at laparoscopic cholecystectomy.

World Journal of Surgery
M T P R PereraD F Mirza

Abstract

Bile duct injuries after laparoscopic cholecystectomy often cause long-term morbidity, with a number of patients resorting to litigation. The present study aimed to analyze risk factors for litigation and to quantify the subsequent medicolegal burden. A total of 67/106 patients (26 male) with major laparoscopic cholecystectomy bile duct injuries (LCBDI) and a minimum 2-year follow-up, replied to a questionnaire covering patient perception toward the complication, physical/psychological recovery, and subsequent litigation. These data were collated with prospectively collected data related to the LCBDI and subsequent management, and a multivariate regression model was designed to identify potential risk factors associated with litigation. Most patients felt they had been inadequately informed prior to surgery [47/67 (70%)] and after the LCBDI [50/67 (75%)], and a majority remained psychologically traumatized at the time of evaluation [50/67 (75%)]. Of these, 22 patients had started litigation by means of a "letter of demand" (LOD; n = 10) or prosecution (n = 12). Nineteen (19/22%) cases have been closed in favor of the plaintiff. There was no difference between the awards for LOD versus prosecution cases, and average compensation...Continue Reading

References

Jun 1, 1997·The British Journal of Surgery·D F MirzaJ A Buckels
Sep 27, 2003·BMJ : British Medical Journal·Dennis J Mazur
Oct 23, 2004·BMJ : British Medical Journal·Clare Dyer
Oct 26, 2006·Surgical Endoscopy·E de SantibañesJ Pekolj
May 8, 2007·Surgical Endoscopy·A P BoddyM Rhodes
Jan 29, 2008·Journal of the American College of Surgeons·Philip R de ReuverDirk J Gouma
Apr 24, 2008·Annals of the Royal College of Surgeons of England·M A SilvaD F Mirza
Dec 18, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Roland AnderssonBobby Tingstedt
Mar 13, 2010·Annals of Surgery·Bilal Alkhaffaf, Bart Decadt

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Citations

Mar 26, 2014·Nigerian Medical Journal : Journal of the Nigeria Medical Association·Adeleke O IfesanyaJoy U Ifesanya
Feb 27, 2016·Journal of Minimal Access Surgery·Vinay Kumar Kapoor
Oct 21, 2015·Frontiers of Medicine·Vinay K Kapoor
Jun 15, 2012·The British Journal of Surgery·G SarnoG J Poston
Feb 22, 2011·International Journal of Surgery·Venkatesh KanakalaLiam F Horgan
Jun 29, 2017·Annals of Surgery·Pier Cristoforo GiulianottiFrancesco Maria Bianco
Dec 18, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Subhashini Ayloo, Jacob Schwartzman
Aug 3, 2016·World Journal of Surgery·Deepak HariharanDileep N Lobo
May 15, 2020·Annals of Surgery·L Michael BruntUNKNOWN and the Prevention of Bile Duct Injury Consensus Work Group
Sep 17, 2017·Surgical Endoscopy·Meredith BarrettDana A Telem
May 14, 2020·Surgical Endoscopy·L Michael BruntUNKNOWN Prevention of Bile Duct Injury Consensus Work Group
Sep 6, 2020·World Journal of Surgery·Maciej SebastianJerzy Rudnicki
May 31, 2014·Biomedical Optics Express·Robert FrancisDuncan MacFarlane
Dec 29, 2020·Expert Review of Gastroenterology & Hepatology·Jiacheng WuYongsheng Yang
Jun 12, 2021·World Journal of Emergency Surgery : WJES·Nicola de'AngelisDaniele Sommacale

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