@prefix prodottidellaricerca: . @prefix istituto: . @prefix prodotto: . istituto:CDS003 prodottidellaricerca:prodotto prodotto:ID181492 . @prefix pubblicazioni: . @prefix unitaDiPersonaleEsterno: . unitaDiPersonaleEsterno:ID3672 pubblicazioni:autoreCNRDi prodotto:ID181492 . @prefix modulo: . modulo:ID2707 prodottidellaricerca:prodotto prodotto:ID181492 . @prefix rdf: . @prefix retescientifica: . prodotto:ID181492 rdf:type retescientifica:ProdottoDellaRicerca , prodotto:TIPO1101 . @prefix rdfs: . prodotto:ID181492 rdfs:label "Bile duct injury during laparoscopic cholecystectomy - Results of an Italian national survey on 56,591 cholecystectomies. (Articolo in rivista)"@en . @prefix xsd: . prodotto:ID181492 pubblicazioni:anno "2005-01-01T00:00:00+01:00"^^xsd:gYear ; pubblicazioni:doi "10.1001/archsurg.140.10.986"^^xsd:string . @prefix skos: . prodotto:ID181492 skos:altLabel "
Nuzzo G; Giuliante F; Giovannini Ivo; Ardito F; D'Acapito F; Vellone M; Murazio M; Capelli G. (2005)
Bile duct injury during laparoscopic cholecystectomy - Results of an Italian national survey on 56,591 cholecystectomies.
in Archives of surgery (Chicago, 1960); American Medical Association (AMA), Chicago (Stati Uniti d'America)
"^^rdf:HTML ; pubblicazioni:autori "Nuzzo G; Giuliante F; Giovannini Ivo; Ardito F; D'Acapito F; Vellone M; Murazio M; Capelli G."^^xsd:string ; pubblicazioni:paginaInizio "986"^^xsd:string ; pubblicazioni:paginaFine "992"^^xsd:string ; pubblicazioni:altreInformazioni "The article is available on line from the web site of this American journal, or in the printed issue. Archives of Surgery is one of the best rated journals of general surgery."^^xsd:string ; pubblicazioni:url "http://archsurg.ama-assn.org/cgi/reprint/140/10/986"^^xsd:string ; pubblicazioni:numeroVolume "140"^^xsd:string . @prefix ns11: . prodotto:ID181492 pubblicazioni:rivista ns11:ID392652 ; pubblicazioni:pagineTotali "7"^^xsd:string ; pubblicazioni:numeroFascicolo "10"^^xsd:string ; skos:note "PubMe"^^xsd:string , "ISI Web of Science (WOS)"^^xsd:string , "Scopu"^^xsd:string ; pubblicazioni:affiliazioni "Dept of Surgical Sciences, Hepatobiliary Surgery Unit, Catholic University, Rome, Italy"^^xsd:string ; pubblicazioni:titolo "Bile duct injury during laparoscopic cholecystectomy - Results of an Italian national survey on 56,591 cholecystectomies."^^xsd:string ; prodottidellaricerca:abstract "Hypothesis: Bile duct injury (BDI) remains the most serious complication of cholecystectomy. With laparoscopic cholecystectomy (LC), the incidence has become more frequent. This study verifies the current incidence, mechanism, presentation, and treatment of BDI occurring during LC in general surgical practice. \nDesign: Anonymous retrospective multicenter survey. \nSetting: Department of surgery at a university referral center, collecting data from general surgical units. \nPatients: Data from 56 591 patients who underwent LC between January 1, 1998, and December 31, 2000, in 184 hospitals in Italy were analyzed. \nMain Outcome Measures: Current incidence, mechanism, presentation, and treatment of BDI occurring during LC in general surgical practice. \nResults: Two hundred thirty-five BDIs; were reported, with an overall incidence of 0.42%. There were no risk factors in 80.0% of the patients. Poor identification of the anatomical features of the hepatic pedicle was the most frequently reported cause (36.8%), and technical problems accounted for 27.0% of causes. The incidence of BDI was higher during cholecystitis (P <.001) and decreased with increasing number of LCs performed by the surgical teams (P <.01). There was no difference in incidence according to technique (French or US) or to routine or selective intraoperative cholangiography. One hundred eight BDIs (46.0%) were recognized intraoperatively and immediately repaired in 89.8% of patients. One hundred twenty-seven BDIs (54.0%) were diagnosed postoperatively, the dominant manifestation being biliary fistula (44.1%). \nConclusions: This study confirms a higher incidence of BDI during LC. It highlights the relevance of the number of previously performed LCs and of the correct surgical technique to avoid BDI. The need for correct procedures, adequate expertise of the repairing surgeon in BDI repairs, and a multidisciplinary approach in the management of BDI is emphasized."@en . @prefix ns12: . prodotto:ID181492 pubblicazioni:editore ns12:ID1254 ; prodottidellaricerca:prodottoDi istituto:CDS003 , modulo:ID2707 ; pubblicazioni:autoreCNR unitaDiPersonaleEsterno:ID3672 . @prefix parolechiave: . prodotto:ID181492 parolechiave:insiemeDiParoleChiave . ns11:ID392652 pubblicazioni:rivistaDi prodotto:ID181492 . ns12:ID1254 pubblicazioni:editoreDi prodotto:ID181492 . parolechiave:insiemeDiParoleChiaveDi prodotto:ID181492 .