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@article{2365656,
author = {Klos, Dusan and Gregorik, Michal and Pavlík, Tomáš and Lovecek, Martin and Tesarikova, Jana and Skalicky, Pavel},
article_location = {NEW YORK},
article_number = {1},
doi = {http://dx.doi.org/10.1007/s00423-023-02897-2},
keywords = {Bile duct injury; Cholecystectomy; Critical view of safety; Postoperative complications},
language = {eng},
issn = {1435-2443},
journal = {LANGENBECKS ARCHIVES OF SURGERY},
title = {Major iatrogenic bile duct injury during elective cholecystectomy: a Czech population register-based study},
url = {https://link.springer.com/article/10.1007/s00423-023-02897-2},
volume = {408},
year = {2023}
}
TY - JOUR
ID - 2365656
AU - Klos, Dusan - Gregorik, Michal - Pavlík, Tomáš - Lovecek, Martin - Tesarikova, Jana - Skalicky, Pavel
PY - 2023
TI - Major iatrogenic bile duct injury during elective cholecystectomy: a Czech population register-based study
JF - LANGENBECKS ARCHIVES OF SURGERY
VL - 408
IS - 1
SP - 1-8
EP - 1-8
PB - SPRINGER
SN - 14352443
KW - Bile duct injury
KW - Cholecystectomy
KW - Critical view of safety
KW - Postoperative complications
UR - https://link.springer.com/article/10.1007/s00423-023-02897-2
N2 - PurposeBile duct injury (BDI) remains the most serious complication following cholecystectomy. However, the actual incidence of BDI in the Czech Republic remains unknown. Hence, we aimed to identify the incidence of major BDI requiring operative reconstruction after elective cholecystectomy in our region despite the prevailing modern 4 K Ultra HD laparoscopy and Critical View of Safety (CVS) standards implemented in daily surgical practice among the Czech population.MethodsIn the absence of a specific registry for BDI, we analysed data from The Czech National Patient Register of Reimbursed Healthcare Services, where all procedures are mandatorily recorded. We investigated 76,345 patients who were enrolled for at least a year and underwent elective cholecystectomy during the period from 2018-2021. In this cohort, we examined the incidence of major BDI following the reconstruction of the biliary tract and other complications.ResultsA total of 76,345 elective cholecystectomies were performed during the study period, and 186 major BDIs were registered (0.24%). Most elective cholecystectomies were performed laparoscopically (84.7%), with the remaining open (15.3%). The incidence of BDI was higher in the open surgery group (150 BDI/11700 cases/1.28%) than in laparoscopic cholecystectomy (36 BDI/64645 cases/0.06%). Furthermore, the total hospital stays with BDI after reconstruction was 13.6 days. However, the majority of laparoscopic elective cholecystectomies (57,914, 89.6%) were safe and standard procedures with no complications.ConclusionOur study corroborates the findings of previous nationwide studies. Therefore, though laparoscopic cholecystectomy is reliable, the risks of BDI cannot be eliminated.
ER -
KLOS, Dusan, Michal GREGORIK, Tomáš PAVLÍK, Martin LOVECEK, Jana TESARIKOVA a Pavel SKALICKY. Major iatrogenic bile duct injury during elective cholecystectomy: a Czech population register-based study. \textit{LANGENBECKS ARCHIVES OF SURGERY}. NEW YORK: SPRINGER, 2023, roč.~408, č.~1, s.~1-8. ISSN~1435-2443. Dostupné z: https://dx.doi.org/10.1007/s00423-023-02897-2.
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