{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T02:50:16Z","timestamp":1792205416028,"version":"4.4.0"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2011,1,20]],"date-time":"2011-01-20T00:00:00Z","timestamp":1295481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,1,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bile duct injury (BDI) remains the most serious complication of laparoscopic cholecystectomy (LC). A Swiss database was used to identify risk factors for BDI and to assess the effect of intraoperative cholangiography (IOC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data for patients from 114 Swiss institutions who underwent LC for acute or chronic cholecystitis between 1995 and 2005 were used in univariable and logistic regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total 31 838 patients, mean(s.d.) age 54\u00b74(15\u00b79) years, were analysed. The incidence of BDI was 0\u00b73 per cent (101 patients), which did not change over time (P = 0\u00b7560). Univariable analysis revealed that male patients had a higher risk of BDI (0\u00b75 per cent versus 0\u00b72 per cent in female patients; P = 0\u00b7001), as did patients whose operation lasted at least 150 min (1\u00b71 per cent versus 0\u00b71 per cent for operating time of less than 150 min; P &amp;lt; 0\u00b7001). Logistic regression confirmed male sex (odds ratio (OR) 1\u00b789, 95 per cent confidence interval 1\u00b727 to 2\u00b781) and prolonged surgery (OR 12\u00b760, 10\u00b787 to 23\u00b781) as independent risk factors. Comparison of groups with and without intraoperative cholangiography showed no difference in the incidence of BDI (both 0\u00b73 per cent; P = 0\u00b7755) and BDIs missed during surgery (10 versus 8 per cent; P = 0\u00b7737).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Male sex and prolonged laparoscopic surgery are independent risk factors for BDI during LC. Frequent use of IOC does not seem to reduce BDI or the number of injuries missed during surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bjs.7335","type":"journal-article","created":{"date-parts":[[2010,11,16]],"date-time":"2010-11-16T10:13:20Z","timestamp":1289902400000},"page":"391-396","source":"Crossref","is-referenced-by-count":114,"title":["Bile duct injury and use of cholangiography during laparoscopic cholecystectomy"],"prefix":"10.1093","volume":"98","author":[{"given":"U","family":"Giger","sequence":"first","affiliation":[{"name":"Swiss Association of Laparoscopic and Thoracoscopic Surgery (SALTS) Study Group , Zurich,","place":["Switzerland"]},{"name":"Department of Surgery, Lindenhof Hospital, University of Berne , Berne,","place":["Switzerland"]},{"name":"Department of Surgery, Kantonsspital Bruderholz , Binningen,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Ouaissi","sequence":"additional","affiliation":[{"name":"Department of Abdominal and Oncological Surgery, H\u00f4pital de la Timone , Marseilles,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S-F H","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Institute of Mathematical Statistics and Actuarial Science, University of Berne , Berne,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Kr\u00e4henb\u00fchl","sequence":"additional","affiliation":[{"name":"Clinical Pharmacology and Toxicology, University Hospital of Basle , Basle,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Kr\u00e4henb\u00fchl","sequence":"additional","affiliation":[{"name":"Swiss Association of Laparoscopic and Thoracoscopic Surgery (SALTS) Study Group , Zurich,","place":["Switzerland"]},{"name":"Department of Surgery, Lindenhof Hospital, University of Berne , Berne,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2011,3,1]]},"reference":[{"key":"2024092904592682400_bib1","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s002689900008","article-title":"Laparoscopic cholecystectomy for acute cholecystitis: is it really safe?","volume":"20","author":"Kum","year":"1996","journal-title":"World J Surg"},{"key":"2024092904592682400_bib2","first-page":"571","article-title":"Bile duct injury during laparoscopic cholecystectomy: a prospective nationwide series","volume":"184","author":"Adamsen","year":"1997","journal-title":"J Am Coll Surg"},{"key":"2024092904592682400_bib3","first-page":"31","article-title":"The impact of laparoscopic cholecystectomy on the management and outcome of biliary tract disease in North Carolina: a statewide, population based, times-series analysis","volume":"183","author":"Rutledge","year":"1996","journal-title":"J Am Coll Surg"},{"key":"2024092904592682400_bib4","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1080\/00015458.2003.11679400","article-title":"Bile duct injury during laparoscopic cholecystectomy: risk factors, mechanisms, type, severity and immediate detection","volume":"103","author":"Gigot","year":"2003","journal-title":"Acta Chir Belg"},{"key":"2024092904592682400_bib5","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1001\/archsurg.140.10.986","article-title":"Bile duct injury during laparoscopic cholecystectomy. 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