1995/03/01 by A J McMahon, G Fullarton, J N Baxter +2 · 16 citations
Medicine · #Gallbladder and Bile Duct Disorders #Pancreatic and Hepatic Oncology Research #Pediatric Hepatobiliary Diseases and Treatments
paper · doi:10.1002/bjs.1800820308
The introduction of laparoscopic cholecystectomy has been associated with an increased incidence of bile duct injury. This review presents the incidence of bile duct injury in reported series and examines the role of the learning curve and other contributing factors. There is good evidence to suggest that, with adequate training and experience, the incidence of biliary injury can be reduced to a level comparable to that of open cholecystectomy. Continued audit is required to ensure that the low complication rates achieved in selected centres with wide experience are reproduced by the surgical community in general.