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Volume 2006, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

In order to determine the national incidence of adverse events following laparoscopic cholecystectomy (LC) the records were reviewed retrospectively of4861 patients who underwent LC over a period often years (1993-2003).

The most serious non-biliary complication was trocar injury of major vessels in three cases. Other non-biliary complications included duodenal perforation during dis-section of the Calot's triangle, small bowel injury while inserting the umbilical port and trocar site hernia. Adverse biliary events included common bile duct injury, common hepatic duct injury, bile leakage from the cystic duct and one instance of the migration of an endoloop into the com-mon bile duct. Conversion to open cholecystectomy was required in 109 cases.

Although LC may be associated with various adverse sequelae, these are rare and should not deter surgeons and patients.

© 2006 Hussein, Allam, Kassem, Sholeik, licensee Bloomsbury Qatar Foundation Journals.
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/content/journals/10.5339/qmj.2006.1.11
2006-06-01
2024-04-18
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References

  1. Deziel DJ. Complications of laparoscopic cholecystectomy: A national survey of4,292 hospitals and an analysis of 77,604 cases. Am J Surg. 1993; 165::9–14.
     [Google Scholar]
  2. Fang Xu, Cheng-Gang Xu, De-Zheng Xu. A new method of preventing bile duct injury in laparoscopic cholecystectomy. World J Gastroenterol. 2004; 10:19:2916–2918, October 1.
     [Google Scholar]
  3. Geers J, Holden C. Major vascular injury as a complication of laparoscopic surgery: a report of three cases and review of the literature. Am Surg. 1996; 62::377–379.
     [Google Scholar]
  4. Hashizume M, Sugimachi K. Needle and trocar injury during laparoscopic surgery in Japan. Surg Endosc. 1997; 11::1198–1201.
     [Google Scholar]
  5. Livingston EH, Rege RV. A Nationwide study of conversion from laparoscopic to open cholecystectomy. Am J Surg. 2004 Sep; 188:3:205–211.
     [Google Scholar]
  6. Mases A, Montes A, Ramos R, Trillo L, Puig MM. Injury to the abdominal aorta during laparoscopic surgery: An unusual presentation. Anesth Analg. 2000; 91::561–562.
     [Google Scholar]
  7. Savassi-Rocha PR, Almeida SR, Sanches MD, Andrade MA, Frerreira JT, Diniz MT, Rocha AL. Iatrogenic bile duct injuries. Surg Endosc. 2003; 17::1356–1361.
     [Google Scholar]
  8. Schafer M, Lauper M, Krahenbuhl L. Trocar and Veress needle injuries during laparoscopy. Surg Endosc. 2001; 15::275–280.
     [Google Scholar]
  9. Singh Rajdeep, Kaushik Robin, Sharma Rajeev, Attri Ashok K. Non-biliary mishaps during laparoscopic cholecystectomy. Indian journal of gastroent. 2004; 23:2:47–49.
     [Google Scholar]
  10. Usal H, Say ad P, Hayek N, Hallak A, Huie F, Ferzli G. Major vascular injuries during laparoscopic cholecystectomy. An institutional review of experience with 2589 procedures and literature review. Surg Endosc. 1998; 12::960–962.
     [Google Scholar]
  11. Thompson JE Jr, Bock R, Lowe DK, Moody WEIII. Vena cava injuries during laparoscopic cholecystectomy. Surg Laparosc Endosc. 1996; 6::221–223.
     [Google Scholar]
  12. Voitk A, Rizoli S. Blunt Hasson trocar injury: Long intra-abdominal trocar and lean patient - a dangerous combination. J Laparosc Adv Surg Tech. 2001; 11::259–262.
     [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2006.1.11
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  • Article Type: Research Article
Keyword(s): biliary and non-biliary adverse events, common bile duct (CBD), common hepatic duct (CHD) and Laparoscopic cholecystectomy (LC)

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