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Erschienen in:
01.07.2015 | Original Scientific Report
Age and Obesity are Independent Predictors of Bile Duct Injuries in Patients Undergoing Laparoscopic Cholecystectomy
Erschienen in: World Journal of Surgery | Ausgabe 7/2015
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Introduction
Iatrogenic bile duct injury is a serious complication of cholecystectomy. The aim of this study was to assess predictors of bile duct injury using a national database.
Methods
The Nationwide Inpatient Sample (2010–2012) was queried for laparoscopic cholecystectomy. We used a) diagnoses for bile duct injury and b) bile duct injury repair procedure codes as a surrogate marker for bile duct injuries.
Results
A total of 1,015 patients had bile duct injury. The mean age was 58.2 ± 19.7 years, 53.5 % were males, and median Charlson co-morbidity score was 2 [2, 3]. Multivariate analysis revealed morbid obesity [2.8 (2.1–4.3); p = 0.03] and age >65 [1.5 (1.05–2.1); p = 0.01] as the independent predictors for bile duct injury in patients undergoing cholecystectomy.
Conclusion
Our study finds a new association between obesity, aging, and bile duct injuries which has never been reported in literature before.