Surgeon experience and trends in intraoperative complications in laparoscopic cholecystectomy

Hobbs, Michael; Mai, Qun; Knuiman, Matthew; Fletcher, David; Ridout, Steve

doi:10.1002/bjs.5333

Cited by 135 publications

(111 citation statements)

References 21 publications

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“…It is now considered the first option and has become the "gold standard" in treating benign gallbladder disease 1,2 . The risk of intraoperative injury during laparoscopic cholecystectomy is higher than in open cholecystectomy 3,4 . It has been anticipated that this will diminish with increasing surgeon's experience in the use of LC 3 .…”

Section: Introductionmentioning

confidence: 97%

Operative and Postoperative Complications of Laparoscopic Cholecystectomy: Experience from a Tertiary Care Hospital of Bangladesh

Maitra

Ullah

Faruquzzaman

et al. 2017

Bangladesh Crit Care J

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Section: Introductionmentioning

confidence: 97%

Operative and Postoperative Complications of Laparoscopic Cholecystectomy: Experience from a Tertiary Care Hospital of Bangladesh

Maitra

Ullah

Faruquzzaman

et al. 2017

Bangladesh Crit Care J

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“…The appeal of diminished pain and fatigue, early return to normal activities and superior cosmesis has made it a popular surgery [5]. By now laparoscopic cholecystectomy has emerged as new gold standard for treatment of symptomatic cholelithiasis and increasing number of procedures are done for acute cholecystitis [6][7][8]. Several complications related to anaesthesia, peritoneal access, pneumoperitoneum, surgical exploration, anatomical and pathological have been reported during Laparoscopic…”

Section: Introductionmentioning

confidence: 99%

Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy: An Analysis in a High Risk Group of Patients

Mir¹,

Bhat²,

Khan³

et al. 2017

J Univer Surg

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Background: Laparoscopic cholecystectomy (LC) has revolutionized minimally invasive surgery, considered as gold standard and increasing number of procedures are done for patients with various high risk comorbid conditions. LC today can be as straightforward operation, but may also be an operative approach fraught with underlying complexities necessitating conversion to open cholecystectomy leading to longer operative time, longer hospital stay and more postoperative morbidity and higher hospital costs. We have tried to estimate the rate and risk factors which are associated with the conversion.

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“…Only 20% of all respondents considered intraoperative cholangiography (IOC) to be important in our survey. The ratio of surgeons that routinely perform IOC is reportedly highly variable, ranging from <5% in the Netherlands, 25% in the USA and UK, to as high as >60% in Australia [32,[39][40][41]. Several authors claimed that IOC cannot prevent BDI and its implication has yet to be defined [42, 43].…”

Section: Discussionmentioning

confidence: 99%

Delphi consensus on bile duct injuries during laparoscopic cholecystectomy: an evolutionary cul‐de‐sac or the birth pangs of a new technical framework?

Iwashita

Hibi

Ohyama

et al. 2017

J Hepato Biliary Pancreat

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Bile duct injury (BDI) during laparoscopic cholecystectomy remains a serious iatrogenic surgical complication. BDI most often occurs as a result of misidentification of the anatomy; however, clinical evidence on its precise mechanism and surgeons' perceptions is scarce. Surgeons from Japan, Korea, Taiwan, and the USA, etc. (n = 614) participated in a questionnaire regarding their BDI experience and near-misses; and perceptions on landmarks, intraoperative findings, and surgical techniques. Respondents voted for a Delphi process and graded each item on a fivepoint scale. The consensus was built when ≥80% of overall responses were 4 or 5. Response rates for the first-and second-round Delphi were 60.6% and 74.9%, respectively. Misidentification of local anatomy accounted for 76.2% of BDI. Final consensus was reached on: (1) Effective retraction of the gallbladder, (2) Always obtaining critical view of safety, and (3) Avoiding excessive use of electrocautery/ clipping as vital procedures; and (4) Calot's triangle area and (5) Critical view of safety as important landmarks. For (6) Impacted gallstone and (7) Severe fibrosis/ scarring in Calot's triangle, bail-out procedures may be indicated. A consensus was reached among expert surgeons on relevant landmarks and intraoperative findings and appropriate surgical techniques to avoid BDI.

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Surgeon experience and trends in intraoperative complications in laparoscopic cholecystectomy

Abstract: The risk of intraoperative complications declined with increasing surgical experience and use of intraoperative cholangiography.

Cited by 135 publications

References 21 publications

Operative and Postoperative Complications of Laparoscopic Cholecystectomy: Experience from a Tertiary Care Hospital of Bangladesh

Operative and Postoperative Complications of Laparoscopic Cholecystectomy: Experience from a Tertiary Care Hospital of Bangladesh

Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy: An Analysis in a High Risk Group of Patients

Delphi consensus on bile duct injuries during laparoscopic cholecystectomy: an evolutionary cul‐de‐sac or the birth pangs of a new technical framework?

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