Document Type

Article

Publication Date

8-1-2010

Identifier

PMCID: PMC4086633, DOI: 10.1001/archsurg.2010.131

Abstract

Iatrogenic bile duct injury (BDI) is an uncommon but serious complication of cholecystectomy, with identified risk factors of acute cholecystitis, male sex, older age, and aberrant biliary anatomy. The Nationwide Inpatient Sample (1998-2006) was queried for cholecystectomy performed on hospital day 0 or 1. Bile duct injury repair procedure codes were used as a surrogate for BDI. We identified 377,424 patients who underwent cholecystectomy, with 1124 BDIs (0.3%). On multivariate logistic regression analysis, Asian race/ethnicity was a significant risk factor for BDI (odds ratio [OR], 2.26; 95% confidence interval [CI], 1.59-3.23; P < .001). This persisted for laparoscopic (OR, 2.62; 95% CI, 1.28-5.39; P = .009) and open (2.21; 1.59-3.07; P < .001) cholecystectomies. No other race/ethnicity was identified as a risk factor for BDI. We report a new finding that Asian race/ethnicity is a significant risk factor for BDI in laparoscopic and open cholecystectomies.

Journal Title

Archives of surgery (Chicago, Ill. : 1960)

Volume

145

Issue

8

First Page

785

Last Page

787

MeSH Keywords

Acute Disease; Asian Americans; Bile Ducts; Cholecystectomy; Cholecystectomy, Laparoscopic; Cholecystitis; Female; Humans; Intraoperative Complications; Logistic Models; Male; Middle Aged; Risk Factors

Keywords

Asians; Bile Duct Injuries; Gall Bladder Surgery

Comments

Grant support

Publisher's version: https://jamanetwork.com/journals/jamasurgery/fullarticle/406207

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