Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases.
Am J Surg
; 165(1): 9-14, 1993 Jan.
Article
en En
| MEDLINE
| ID: mdl-8418705
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.
Buscar en Google
Banco de datos:
MEDLINE
Asunto principal:
Colecistectomía Laparoscópica
Límite:
Humans
País/Región como asunto:
America do norte
/
Caribe
/
Puerto rico
Idioma:
En
Revista:
Am J Surg
Año:
1993
Tipo del documento:
Article