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Related Experiment Video

Updated: May 28, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Laparoscopic cholecystectomy: device-related errors revealed through a national database.

Sukhmeet S Panesar1, Sarah A Salvilla, Bhavesh Patel

  • 1National Patient Safety Agency, 4-8 Maple Street, London, W1T 5HD, UK. sukhmeet.panesar@npsa.nhs.uk

Expert Review of Medical Devices
|October 27, 2011
PubMed
Summary

Laparoscopic cholecystectomy (gall bladder removal) has seen a significant rise in equipment-related errors, despite increased use. Addressing faulty equipment is crucial for patient safety in modern surgery.

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Area of Science:

  • Surgical Innovation
  • Medical Device Safety
  • Healthcare Quality Improvement

Background:

  • Laparoscopic techniques, particularly for gall bladder surgery, have transformed modern surgical care.
  • Initial challenges and complications with new technologies led to improved standards and training.
  • The focus has shifted to understanding and mitigating ongoing risks in established laparoscopic procedures.

Purpose of the Study:

  • To analyze the nature of errors in laparoscopic cholecystectomy, with a specific focus on equipment-related issues.
  • To investigate trends in device-related versus user-related errors over a defined period.
  • To assess the impact of equipment problems on patient safety in laparoscopic gall bladder surgery.

Main Methods:

  • Utilized data from a global error-reporting system for surgical incidents.

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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

  • Examined reports related to laparoscopic cholecystectomy between 2004 and 2010.
  • Compared the rate of equipment-related incidents with the overall increase in procedure utilization.
  • Main Results:

    • Reports of equipment-related incidents increased 15-fold from 2004-2010, far outpacing the 1.3-fold growth in laparoscopic cholecystectomy procedures.
    • Device-related errors constituted the majority of the increase in reported incidents.
    • User-related errors represented a smaller proportion of the total errors.

    Conclusions:

    • Faulty or misused surgical equipment remains a significant risk in laparoscopic gall bladder surgery.
    • Addressing equipment-related issues presents a more manageable challenge than surgeon competency issues.
    • Minimizing risks associated with substandard or misused equipment is essential for 21st-century surgical services.