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Related Experiment Video

Updated: May 22, 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

Gallbladder damage control: compromised procedure for compromised patients.

Justin Lee1, Peter Miller, Reza Kermani

  • 1St. Elizabeth Medical Center, Tufts University School of Medicine, 736 Cambridge Street, Boston, MA 02135, USA. Justin.Lee@tufts.edu

Surgical Endoscopy
|April 28, 2012
PubMed
Summary
This summary is machine-generated.

Gallbladder damage control procedures like partial cholecystectomy and trocar cholecystostomy show high complication rates, including common bile duct injury. Teaching hospitals and intraoperative cholangiograms are associated with increased risk.

Related Experiment Videos

Last Updated: May 22, 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

Area of Science:

  • Surgery
  • Gastroenterology
  • Health Services Research

Background:

  • Analysis of gallbladder damage control procedures is crucial for understanding surgical outcomes.
  • Trends in partial cholecystectomy (PC), laparoscopic PC, and trocar cholecystostomy (TC) utilization require investigation.
  • Population-based data can reveal insights into surgical trends and patient outcomes.

Purpose of the Study:

  • To analyze 9-year trends in the utilization of PC, laparoscopic PC, and TC.
  • To examine patient demographics, diagnoses, and hospital characteristics associated with these procedures.
  • To evaluate inpatient outcomes, including complications and mortality, related to gallbladder damage control.

Main Methods:

  • Retrospective cohort analysis of the Nationwide Inpatient Sample (NIS) database from 2000 to 2008.
  • Gallbladder damage control defined as PC, laparoscopic PC, and TC.
  • Multivariate logistic regression used to identify risk factors for common bile duct injury.

Main Results:

  • 10,872 gallbladder damage control cases identified; PC (47.8%), laparoscopic PC (27.2%), TC (25.3%).
  • Postoperative complications occurred in 13.6%, with common bile duct injury in 3.3%.
  • Teaching hospitals (OR=1.517) and intraoperative cholangiogram (IOC) (OR=2.030) were associated with common bile duct injury.

Conclusions:

  • Gallbladder damage control procedures (PC, TC) are necessary in certain clinical scenarios.
  • High rates of postoperative complications and common bile duct injury persist.
  • Hospital teaching status is a risk factor for common bile duct injury, and high morbidity/mortality reflect procedure complexity and comorbidities.