Complications of laparoscopic cholecystectomy in Switzerland

Z’graggen, Kaspar; Wehrli, H; Metzger, A.; Buehler, Mark; Frei, E.; Klaiber, C

doi:10.1007/s004649900846

Cited by 149 publications

(75 citation statements)

References 45 publications

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“…The majority of patients in this study underwent LC for symptomatic cholelithiasis. This is a similar to that reported by Zgraggen et al [21]. The distribution of gender and a mean operative time was similar among the groups in our study.…”

Section: Discussionsupporting

confidence: 93%

Laparoscopic Cholecystectomy Results In Patients With Different Age Groups

Yetim¹,

Dervişoğlu²,

Karaköse³

et al. 2011

Ann Clin Anal Med

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Section: Discussionsupporting

confidence: 93%

Laparoscopic Cholecystectomy Results In Patients With Different Age Groups

Yetim¹,

Dervişoğlu²,

Karaköse³

et al. 2011

Ann Clin Anal Med

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“…Laparoscopic cholecystectomy is widely accepted as an effective treatment for benign gallbladder disease, but bile duct injury remains a serious complication, with an incidence of 0.3%–0.7% 1, 2, 3, 4, 5, 6. Bile duct injury is often caused by misinterpretation of the anatomical structures rather than by insufficient technical skills 7.…”

Section: Introductionmentioning

confidence: 99%

Optimal timing of preoperative indocyanine green administration for fluorescent cholangiography during laparoscopic cholecystectomy using the PINPOINT® Endoscopic Fluorescence Imaging System

Tsutsui

Yoshida

Nakagawa

et al. 2017

Asian J Endoscop Surgery

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IntroductionThe PINPOINT® Endoscopic Fluorescence Imaging System (Novadaq, Mississauga, Canada) allows surgeons to visualize the bile ducts during laparoscopic cholecystectomy. Surgeons can continue operation while confirming the bile ducts’ fluorescence with a bright‐field/color image. However, strong fluorescence of the liver can interfere with the surgery. Here, we investigated the optimal timing of indocyanine green administration to allow fluorescent cholangiography to be performed without interference from the liver fluorescence.MethodsA total of 72 patients who underwent laparoscopic cholecystectomy were included in this study. The timing of indocyanine green administration was set immediately before surgery and at 3, 6, 9, 12, 15, 18, and 24 h before surgery. The luminance intensity ratios of gallbladder/liver, cystic duct/liver, and common bile duct/liver were measured using the ImageJ software (National Institutes of Health, Bethesda, USA). Visibility of the gallbladder and bile ducts was classified into three categories (grades A, B, and C) based on the degree of visibility in contrast to the liver.ResultsThe luminance intensity ratio for the gallbladder/liver, cystic duct/liver, and common bile duct/liver was ≥1 in the 15‐, 18‐, and 24‐h groups. The proportion of cases in which evaluators classified the visibility of the gallbladder and bile ducts as grade A (best visibility) reached a peak in the 15‐h group and decreased thereafter.ConclusionsIn the present study, the optimal timing of indocyanine green administration for fluorescent cholangiography during laparoscopic cholecystectomy using the PINPOINT Endoscopic Fluorescence Imaging System was 15 h before surgery.

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“…The incidence of bile duct injury has remained quite stable between 0.33% and 0.5% throughout the early periods of LC 1,2 into the present. [3][4][5][6] Bile duct injuries related to LC seem to be more complicated than after an open procedure. [7][8][9] On many occasions, subsequent treatments have failed in the primary hospital, leading to a sequence of reoperations and various interventions.…”

mentioning

confidence: 99%

Management and outcome of major bile duct injuries after laparoscopic cholecystectomy: From therapeutic endoscopy to liver transplantation

et al. 2002

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Laparoscopic cholecystectomy is associated with a higher rate of bile duct injuries than an open cholecystectomy. The annual incidence of bile duct injuries has remained almost constant and these injuries tend to be more serious, making demands on the method of repair. We wanted to report the management and outcome of major bile duct injuries after laparoscopic cholecystectomy in patients referred to a hepatobiliary and liver transplantation unit. Eighteen patients (14 women), with a median age of 53.5 years were referred to the liver surgery unit with a major bile duct injury after laparoscopic cholecystectomy. The injury was identified after a median of 3 days (range, 0 to 25 days) after operation and the median time interval to referral was 79 days (0 to 2270 days). Fourteen patients had undergone surgery before referral. By the time of referral, four patients had developed end-stage cirrhosis, necessitating liver transplantation. Three of them had undergone bilioenteric drainage operations at the referring institute. Of the remaining 14 patients, three were managed by therapeutic endoscopic procedures. Ten patients were managed with Roux-en-Y hepaticojejunostomy. One died of septic complications before the repair. A median time for hospitalization in our unit was 33 days (range,10 to 164 days). At present, 16 patients are alive. One patient died of Kaposi's sarcoma 7 months after liver transplantation. A long interval between bile duct injury and referral was associated with the development of endstage liver disease. Surgery of biliary lesions is demanding, and surgical experience with multidisciplinary approach, including therapeutic endoscopy and liver transplantation, is necessary for successful outcome. (Liver Transpl

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Complications of laparoscopic cholecystectomy in Switzerland

Cited by 149 publications

References 45 publications

Laparoscopic Cholecystectomy Results In Patients With Different Age Groups

Laparoscopic Cholecystectomy Results In Patients With Different Age Groups

Optimal timing of preoperative indocyanine green administration for fluorescent cholangiography during laparoscopic cholecystectomy using the PINPOINT® Endoscopic Fluorescence Imaging System

Management and outcome of major bile duct injuries after laparoscopic cholecystectomy: From therapeutic endoscopy to liver transplantation

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