Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Aug;145(8):785-7.
doi: 10.1001/archsurg.2010.131.

Asian race/ethnicity as a risk factor for bile duct injury during cholecystectomy

Stephanie R Downing  1 , Ghazala Datoo, Tolulope A Oyetunji, Terrence Fullum, David C Chang, Nita Ahuja
Affiliations

Asian race/ethnicity as a risk factor for bile duct injury during cholecystectomy

Stephanie R Downing et al. Arch Surg. 2010 Aug.

Abstract

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 < .001). This persisted for laparoscopic (OR, 2.62; 95% CI, 1.28-5.39; P = .009) and open (2.21; 1.59-3.07; P < .001) cholecystectomies. No other race/ethnicity was identified as a risk factor for BDI. We report a new finding that Asian race/ethnicity is a significant risk factor for BDI in laparoscopic and open cholecystectomies.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko ST, Airan MC. Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg. 1993;165(1):9–14. - PubMed
    1. Andrén-Sandberg A, Alinder G, Bengmark S. Accidental lesions of the common bile duct at cholecystectomy: pre- and perioperative factors of importance. Ann Surg. 1985;201(3):328–332. - PMC - PubMed
    1. Georgiades CP, Mavromatis TN, Kourlaba GC, et al. Is inflammation a significant predictor of bile duct injury during laparoscopic cholecystectomy? Surg Endosc. 2008;22(9):1959–1964. - PubMed
    1. Grönroos JM, Hämäläinen MT, Karvonen J, Gullichsen R, Laine S. Is male gender a risk factor for bile duct injury during laparoscopic cholecystectomy? Langenbecks Arch Surg. 2003;388(4):261–264. - PubMed
    1. Raute M, Podlech P, Jaschke W, Manegold BC, Trede M, Chir B. Management of bile duct injuries and strictures following cholecystectomy. World J Surg. 1993;17(4):553–562. - PubMed