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Lalwani S et al

               Clinical record revealed that patient was appropriately  cholecystectomy in an institutional set up. J Laparoendosc Surg
            managed postoperatively. He was admitted in intensive care  1996; 6: 393-97.
            unit. All the relevant investigations were carried out. The  5. Krahenbuhl L, Sclabas G, Wente MN, Schafer M, Schlumpf R,
            consultations were taken from the nephrologists and physicians  Buchler MW. Incidence, risk factors and prevention of biliary
                                                                    tract injuries during laparoscopic cholecystectomy in Switzerland.
            of critical care units. In spite of all possible measures patient  World J Surg 2001;25:1325-30.
            could not survive. As per report of postmortem examination,  6. Calvete J, Sabater L, Camps B, Verdu A, Gomez-Portilla A,
            the cause of death was multiple organ failure due to septicemia  Martin J, Torrico MA, Flor B, Cassinello N, Lledo S. Bile duct
            following surgical procedure for gallbladder. Such events though  injury during cholecystectomy: myth or reality of the learning
            rare, are known to occur and are reported in literature. Bauer,  curve? Surg Endosc 2000;14:608-11.
            et al (1998) reported one case of bile duct injury during  7. Huang X, Feng Y, Huang Z. Complications of laparoscopic
            laparoscopic cholecystectomy, who died postoperatively due  cholecystectomy in China: analysis of 39,328 cases. Zhonghua
                                                                    wai Ke za Zhi 1997;35:654-56.
                                   13
            to multiorgan system failure.  There was/were no evidence/s  8. Richardson MC, Bell G, Fullarton GM. Incidence and nature of
            or finding/s which could substantiate the allegation of  bile duct injuries following laparoscopic cholecystectomy: an
            negligence against the treating doctors. The literature supports  audit of 5913 cases. West of Scotland Laparoscopic Chole-
            the bile duct injury as an inherent risk of procedure.  cystectomy Audit Group. Br J Surg 1996; 83:1356-60.
                                                                 9. Francoeur JR, Wiseman K, Buczkowski AK, Chung SW,
            REFERENCES                                              Scudamore CH. Surgeon’s anonymous response after bile duct
                                                                    injury during cholecystectomy. Am J Surg 2003;185:468-75.
             1. Mrksic MB, Farkas E, Cabafi Z, Komlos A, Sarac M. Compli-  10. Kienzle HF. Malpractice in laparoscopic cholecystectomy.
                cations in laparoscopic cholecystectomy Med Pregl 1999;  Results of cases recently considered by expert Commission.
                52:253-57.                                          Zentralbl Chir 1999;124:535-41.
             2. Gronroos JM, Hamalainen MT, Karvonen J, Gullichsen R,  11. Carroll BJ, Birth M, Phillips EH. Common bile duct injuries
                Laine S. Is male gender a risk factor for bile duct injury during  during laparoscopic cholecystectomy that result in litigation.
                laparoscopic cholecystectomy? Langenbecks Arch Surg  Surg Endosc 1998;12: 310-13.
                2003;388:261-64.                                12. Low A, Decker D, Kania U, Hirner A. Forensic aspects of
             3. Roviaro GC, Maciocco M, Rebuffat C, Varoli F, Vergani F,  complicated laparoscopic cholecystectomy. Chirurg
                Rabughino G, Scarduelli A. Complications following  1997;68:395-402.
                cholecystectomy. J R Coll Surg Edinb 1997;42:324-28.  13. Bauer TW, Morris JB, Lowenstein A, Wolferth C, Rosato FE.
             4. Kumar A, Thombare MM, Sikora SS, Saxena R, Kapoor VK,  The consequences of a major bile duct injury during laparoscopic
                Kaushik SP. Morbidity and mortality of laparoscopic  cholecystectomy. Gastrointest Surg 1998;2:61-66.




































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