title: Bile duct injuries during laparoscopic cholecystectomy: a 1994-2001 audit on 13,718 operations in the area of Rome.
abstract: BACKGROUND
  Bile duct injuries (BDIs) during laparoscopic cholecystectomy (LC) still are reported with greater frequency than during open cholecystectomy (OC).
  
  
  METHODS
  In 1999, a retrospective study evaluating the incidence of BDIs during LC in the area of Rome from 1994 to 1998 (group A) was performed. In addition, a prospective audit was started, ending in December 2001 (group B).
  
  
  RESULTS
  In group A, 6,419 LCs were performed (222 were converted to OC; 3.4%). In group B, 7,299 LCs were performed (225 were converted to OC; 3.1%). Seventeen BDIs (0.26%) occurred in group A and 16 (0.22%) in group B. Overall, mortality and major morbidity rates were 12.1% and 30.3%, respectively, without significant differences between the two groups.
  
  
  CONCLUSIONS
  The incidence and clinical relevance of BDIs during LC in the area of Rome appeared to be stable over the past 8 years and were not influenced by the use of a prospective audit, as compared with a retrospective survey.
authors.affiliation: Lap Group Roma, Gruppo Laparoscopico Romano, Via A. Borelli 5, 00161 Roma, Italy. gentilp@yahoo.com
authors.forename: P
authors.initials: P
authors.lastname: Gentileschi
authors.forename: M
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authors.lastname: Di Paola
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authors.lastname: Catarci
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authors.lastname: Santoro
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authors.lastname: Montemurro
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authors.initials: M
authors.lastname: Carlini
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authors.lastname: Nanni
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authors.lastname: Alessandroni
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authors.initials: R
authors.lastname: Angeloni
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authors.initials: B
authors.lastname: Benini
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authors.lastname: Cristini
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authors.lastname: Dalla Torre
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authors.lastname: De Stefano
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authors.lastname: Gatto
authors.forename: F
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authors.lastname: Gossetti
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authors.lastname: Manfroni
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authors.lastname: Mascagni
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authors.lastname: Masoni
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authors.lastname: Montalto
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authors.lastname: Polito
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authors.lastname: Puce
authors.forename: G
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authors.lastname: Silecchia
authors.forename: A
authors.initials: A
authors.lastname: Terenzi
authors.forename: M
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authors.lastname: Valle
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authors.lastname: Vita
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authors.lastname: Zanarini
mesh_terms: D000368:Aged; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery; D002763:Cholecystectomy / Q000706:statistics & numerical data; D017081:Cholecystectomy, Laparoscopic / Q000706:statistics & numerical data*; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D007583:Jejunum / Q000601:surgery; D008099:Liver / Q000601:surgery; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies; D012384:Rome / Q000453:epidemiology; D011795:Surveys and Questionnaires