2020 Volume 45 Issue 2 Pages 95-102
We conducted a multicenter retrospective study to evaluate the relationships between various clinicopathological factors and the risk of biliary injury during laparoscopic cholecystectomy (LC). From January 2009 to December 2011, 1618 cases with LC were collected from 12 related facilities. Among these, conversion to open cholecystectomy was recorded for 72 cases (4.4%), and there were 7 cases (0.43%) with biliary injury. Intraoperative cholangiography was performed in 60.8% of all cases. There were no correlations between biliary injury and any of the various preoperative and intraoperative factors, except for a history of acute cholecystitis (P=0.002). In 6 cases with biliary injury, the operators were young surgeons, before they obtained their qualifications as board-certified surgeons. In conclusion, LC in cases with history of acute cholecystitis should be performed with the utmost care by an experienced surgeon.
