Asian Race/Ethnicity as a Risk Factor for Bile Duct Injury During Cholecystectomy

Asian Race/Ethnicity as a Risk Factor for Bile Duct Injury During Cholecystectomy

Iatrogenic bile duct injury (BDI) is an uncommon but serious complication of cholecystectomy, with identified risk factors of acute cholecystitis, male sex, older age, and aberrant biliary anatomy. The Nationwide Inpatient Sample (1998-2006) was queried for cholecystectomy performed on hospital day...

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Veröffentlicht in:Archives of surgery (Chicago. 1960) 2010-08, Vol.145 (8), p.785-787
Hauptverfasser: Downing, Stephanie R, Datoo, Ghazala, Oyetunji, Tolulope A, Fullum, Terrence, Chang, David C, Ahuja, Nita
Format: Artikel
Sprache:eng
Schlagworte:
Acute Disease
Asian Americans - statistics & numerical data
Asian people
Bile Ducts - injuries
Cholecystectomy - adverse effects
Cholecystectomy, Laparoscopic - adverse effects
Cholecystitis - ethnology
Cholecystitis - surgery
Ethnicity
Female
Humans
Intraoperative Complications - epidemiology
Logistic Models
Male
Middle Aged
Race
Risk Factors
Surgery
Surgical techniques
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Zusammenfassung:Iatrogenic bile duct injury (BDI) is an uncommon but serious complication of cholecystectomy, with identified risk factors of acute cholecystitis, male sex, older age, and aberrant biliary anatomy. The Nationwide Inpatient Sample (1998-2006) was queried for cholecystectomy performed on hospital day 0 or 1. Bile duct injury repair procedure codes were used as a surrogate for BDI. We identified 377 424 patients who underwent cholecystectomy, with 1124 BDIs (0.3%). On multivariate logistic regression analysis, Asian race/ethnicity was a significant risk factor for BDI (odds ratio [OR], 2.26; 95% confidence interval [CI], 1.59-3.23; P 
ISSN:0004-0010
2168-6254
1538-3644
2168-6262
DOI:10.1001/archsurg.2010.131