Bile Duct Injuries During Laparoscopic Cholecystectomies: An 11-year Population-based Study

North Estonia Medical Centre

Status: Completed

Conditions: Bile Duct Injury

Treatments: Procedure: Management of bile duct injury

Study type: Observational

Funder types: Other

Identifiers

NCT05479227

AR (Other Identifier)

Details and patient eligibility

About

The aim of this retrospective study is to review the annual incidence, management, and outcomes of bile duct injuries (BDI) during laparoscopic cholecystectomy (LC) in a population-based cohort during 2008-2018 in Estonia.

Full description

The aim of this retrospective study is to review the annual incidence, management, and outcomes of bile duct injuries (BDI) during laparoscopic cholecystectomy (LC) in a population-based cohort during 2008-2018 in Estonia.

Background Data: Iatrogenic bile duct injuries (BDI) following laparoscopic cholecystectomy (LC) result in major morbidity and incidental mortality. There is a lack of unselected population-based cross-sectional studies on the incidence, management, and outcomes of BDI. We hypothesised that due to improved imaging capabilities and collective laparoscopic experience, the BDI incidence will decrease over the study period and compare favourably with contemporary literature.

After IRB approval, all cholecystectomies performed at national public healthcare facilities between 2008 and 2018 were retrospectively reviewed. BDIs were classified according to the Strasberg classification. We hypothesized that due to improved imaging capabilities and collective laparoscopic experience the BDI incidence will decrease over the study period and compare favourably to contemporary literature.

Enrollment: 241 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• all patients with BDI during laparoscopic cholecystectomy (LC)

Exclusion criteria

• The sole exclusion criterion in the case selection was cholecystectomy performed primarily using the open method

Trial design

241 participants in 1 patient group

Patients with bile duct injuries during laparoscopic cholecystectomy

Description:

The data concerning 241 patients´ BDI emergence, severity, management, and outcomes was analyzed

Treatment:

Procedure: Management of bile duct injury