Medicolegal claims following laparoscopic cholecystectomy in the UK and Ireland

Scurr, J.R.H.; Brigstocke, Julian R; Shields, D. A.; Scurr, J. H.

doi:10.1308/003588410x12664192076214

Cited by 28 publications

(25 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The patient and the family must be informed in detail following the operation. It is wise to discuss the referral of the patient to a specialized hepatobiliary unit (74). The perception of the patient and family of negligent behavior of the surgical team is usually more noteworthy than the injury itself.…”

Section: Medicolegal Issues A) What Are the Medicolegal Perspectives mentioning

confidence: 99%

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Abbasoğlu¹,

Tekant²,

Alper³

et al. 2016

UCD

View full text Add to dashboard Cite

Gallstone disease is very common and laparoscopic cholecystectomy is one of the most common surgical procedures all over the world. Parallel to the increase in the number of laparoscopic cholecystectomies, bile duct injuries also increased. The reported incidence of bile duct injuries ranges from 0.3% to 1.4%. Many of the bile duct injuries during laparoscopic cholecystectomy are not due to inexperience, but are the result of basic technical failures and misinterpretations. A working group of expert hepatopancreatobiliary surgeons, an endoscopist, and a specialist of forensic medicine study searched and analyzed the publications on safe cholecystectomy and biliary injuries complicating laparoscopic cholecystectomy under the organization of Turkish Hepatopancreatobiliary Surgery Association. After a series of e-mail communications and two conferences, the expert panel developed consensus statements for safe cholecystectomy, management of biliary injuries and medicolegal issues. The panel concluded that iatrogenic biliary injury is an overwhelming complication of laparoscopic cholecystectomy and an important issue in malpractice claims. Misidentification of the biliary system is the major cause of biliary injuries. To avoid this, the "critical view of safety" technique should be employed in all the cases. If biliary injury is identified intraoperatively, reconstruction should only be performed by experienced hepatobiliary surgeons. In the postoperative period, any deviation from the expected clinical course of recovery should alert the surgeon about the possibility of biliary injury.

show abstract

Section: Medicolegal Issues A) What Are the Medicolegal Perspectives mentioning

confidence: 99%

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Abbasoğlu¹,

Tekant²,

Alper³

et al. 2016

UCD

View full text Add to dashboard Cite

show abstract

“…These rising figures and large settlements mean that routine IOC has been reported to be cost effective due to its early detection of BDI as discussed [56,61]. A recent study investigating medicolegal claims following laparoscopic cholecystectomy in the United Kingdom and Ireland concluded that BDI is ''almost indefensible'' [89]. This statement means that although the protective effects of IOC against BDI continue to be debated in the absence of definitive evidence, the undeniable fact that IOC does reduce the cost of litigation will likely gain increasing gravitas with time, culminating in health organizations instigating routine IOC during LC for economic reasons.…”

Section: Final Considerationsmentioning

confidence: 99%

Intraoperative cholangiography in the laparoscopic cholecystectomy era: why are we still debating?

et al. 2012

View full text Add to dashboard Cite

Laparoscopic cholecystectomy is now one of the most frequently performed abdominal surgical procedures in the world. The most common major complication is bile duct injury, which can have catastrophic repercussions for patients and it has been suggested that intraoperative cholangiography may reduce the rate of bile duct injury. Whether this procedure should be performed routinely is still an active subject of debate. We discuss the available evidence and likely implications for the future.

show abstract

“…Apart from early postoperative complications, there is also a risk of long-term sequelae as strictures of the common bile duct and repeated attacks of cholangitis. In addition, such injuries represent a vast economic burden to the society (8) and also represent a high rate of medico-legal claims (9). the treatment of bile duct injuries has changed since the introduction of laparoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%