Major iatrogenic bile duct injury during elective
cholecystectomy: a Czech population register-based study

J 2023

Major iatrogenic bile duct injury during elective cholecystectomy: a Czech population register-based study

KLOS, Dusan, Michal GREGORIK, Tomáš PAVLÍK, Martin LOVECEK, Jana TESARIKOVA et. al.

Basic information

Original name

Major iatrogenic bile duct injury during elective cholecystectomy: a Czech population register-based study

Authors

KLOS, Dusan (203 Czech Republic), Michal GREGORIK (203 Czech Republic), Tomáš PAVLÍK (203 Czech Republic, belonging to the institution), Martin LOVECEK (203 Czech Republic), Jana TESARIKOVA (203 Czech Republic) and Pavel SKALICKY (203 Czech Republic)

Edition

LANGENBECKS ARCHIVES OF SURGERY, NEW YORK, SPRINGER, 2023, 1435-2443

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.300 in 2022

RIV identification code

RIV/00216224:14110/23:00133233

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1007/s00423-023-02897-2

UT WoS

000975358000002

Keywords in English

Bile duct injury; Cholecystectomy; Critical view of safety; Postoperative complications

Abstract

V originále

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.

Citovat

KLOS, Dusan, Michal GREGORIK, Tomáš PAVLÍK, Martin LOVECEK, Jana TESARIKOVA and Pavel SKALICKY. Major iatrogenic bile duct injury during elective cholecystectomy: a Czech population register-based study. LANGENBECKS ARCHIVES OF SURGERY. NEW YORK: SPRINGER, 2023, vol. 408, No 1, p. 1-8. ISSN 1435-2443. Available from: https://dx.doi.org/10.1007/s00423-023-02897-2.

@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 and 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, vol.~408, No~1, p.~1-8. ISSN~1435-2443. Available from: https://dx.doi.org/10.1007/s00423-023-02897-2.

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