{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T03:26:24Z","timestamp":1648869984251},"reference-count":7,"publisher":"Index Copernicus","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Resection of the gall-bladder is still the most common surgical procedure performed at general surgery departments. The laparoscopic method used in the majority of cases offers considerable benefits but at the same time is associated with an increased rate of bile duct complications. So far, a slim female aged 25-50 years was a typical patient with a iatrogenic bile duct injury.<\/jats:p><jats:p>The aim of the study was to identify the age of patients with iatrogenic bile duct injuries as well as the clinical course observed in recent years.<\/jats:p><jats:p>Material and methods. Gender and age structure of patients admitted to the Department of General, Transplant and Liver Surgery between the beginning of 2011 and June 2014 and treated for iatrogenic bile duct injuries, complications of laparoscopic cholecystectomy, were analysed. The patients were referred to the department as a reference centre.<\/jats:p><jats:p>Results. In the group of 186 patients, females predominated (69.4%) and the mean age was 52 years. A considerable increase in the mean age of patients treated in 2014 as compared with previous years was seen. This was related to an increased rate of bile duct injuries in patients aged over 70 years, who accounted for about 25% of the group. In previous years, bile duct injuries in patients of such an advanced age happened considerably less frequently.<\/jats:p><jats:p>Conclusions. A iatrogenic bile duct injury in an elderly person may prove a fatal complication. A repair surgery, i.e. the biliary-enteric anastomosis, is a major and burdensome procedure, particularly in the case of patients aged over 70 years. Special caution during laparoscopic cholecystectomy is advised in this population, and the slightest doubts should lead to conversion.<\/jats:p>","DOI":"10.1515\/pjs-2015-0032","type":"journal-article","created":{"date-parts":[[2015,7,6]],"date-time":"2015-07-06T09:39:23Z","timestamp":1436175563000},"source":"Crossref","is-referenced-by-count":0,"title":["Is the Age of Patients with Iatrogenic Bile Duct Injuries Increasing?"],"prefix":"10.5604","volume":"87","author":[{"given":"Rafa\u0142","family":"Stankiewicz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogus\u0142aw","family":"Najnigier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marek","family":"Krawczyk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"ref71","doi-asserted-by":"crossref","DOI":"10.1007\/s10620-014-3255-7","article-title":"Analysis of Risk Factors for Postoperative Complication of Repair of Bile Duct Injury After Laparoscopic Cholecystectomy","author":"Huang","year":"2014","journal-title":"Dig Dis Sci"},{"key":"ref81","first-page":"1","article-title":"A Novel Classification System to Address Financial Impact and Referral Decisions for Bile Duct Injury in Laparoscopic Cholecystectomy","author":"Cannon","year":"2011","journal-title":"Surgery"},{"key":"ref31","first-page":"241","article-title":"Surgical management of the bile duct injuries sustained during laparoscopic cholecystectomy","author":"Sicklick","year":"2005","journal-title":"Ann Surg"},{"key":"ref101","first-page":"407","article-title":"The influence of time referral in the treatment of iatrogenic lesions of biliary tract Col Bras Cir","volume":"37","author":"Barros","year":"2010","journal-title":"Rev"},{"key":"ref131","first-page":"1","article-title":"Zw\u0119\u017cenia \u0142agodne dr\u00f3g \u017c\u00f3\u0142ciowych i przetoki \u017c\u00f3\u0142ciowe red dr\u00f3g \u017c\u00f3\u0142ciowych i w\u0105troby tom","author":"Krawczyk","year":"2013","journal-title":"Chirurgia"},{"key":"ref91","doi-asserted-by":"crossref","first-page":"43","DOI":"10.4240\/wjgs.v3.i4.43","article-title":"Classification and management of bile duct injuries","volume":"3","author":"Mercado","year":"2011","journal-title":"World J Gastrointest Surg"},{"key":"ref111","first-page":"123","article-title":"Intraoperative Management and Repair of Bile Duct Injuries Sustained during Laparoscopic Cholecystectomies in a High - Volume Referral Center","volume":"10","author":"Pekolj","year":"2013","journal-title":"Am"}],"container-title":["Polish Journal of Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.degruyter.com\/view\/j\/pjs.2015.87.issue-3\/pjs-2015-0032\/pjs-2015-0032.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,1,31]],"date-time":"2018-01-31T12:08:51Z","timestamp":1517400531000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/view\/j\/pjs.2015.87.issue-3\/pjs-2015-0032\/pjs-2015-0032.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,1]]},"references-count":7,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.1515\/pjs-2015-0032","relation":{},"ISSN":["0032-373X"],"issn-type":[{"value":"0032-373X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,1]]}}}