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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.

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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  -

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
Original language	English
Type of outcome	Article in a journal
Field of Study	30212 Surgery
Country of publisher	United States of America
Confidentiality degree	is not subject to a state or trade secret
WWW	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
Tags	14119612, rivok
Tags	International impact, Reviewed
Changed by	Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 6/3/2024 10:15.

Abstract
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.

Abstract

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.