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Common Bile Duct Injury in Laparoscopic Cholecystectomy—Inherent Risk of Procedure or Medical Negligence
cholecystecomy as malpractice were delay in changing to 4. Kumar A, Thombare MM, Sikora SS, Saxena R, Kapoor VK,
conventional cholecystectomy, delay revisions, laparoscopic Kaushik SP. Morbidity and mortality of laparoscopic
revisions and not reverting to conventional cholecystectomy cholecystectomy in an institutional set up. J Laparoendosc Surg.
in unclear situations. 12 1996; 6: 393-97.
Clinical record revealed that patient was appropriately 5. Krahenbuhl L, Sclabas G, Wente MN, Schafer M, Schlumpf R,
managed postoperatively. He was admitted in intensive care Buchler MW. Incidence, risk factors and prevention of biliary
tract injuries during laparoscopic cholecystectomy in Switzerland.
unit. All the relevant investigations were carried out. The World J Surg 2001;25:1325-30.
consultations were taken from the nephrologists and physicians 6. Calvete J, Sabater L, Camps B, Verdu A, Gomez-Portilla A,
of critical care units. In spite of all possible measures patient Martin J, Torrico MA, Flor B, Cassinello N, Lledo S. Bile duct
could not survive. As per report of postmortem examination, injury during cholecystectomy: myth or reality of the learning
the cause of death was multiple organ failure due to septicemia curve? Surg Endosc. 2000;14:608-11.
following surgical procedure for gallbladder. Such events though 7. Huang X, Feng Y, Huang Z. Complications of laparoscopic
rare, are known to occur and are reported in literature. Bauer et cholecystectomy in China: analysis of 39,328 cases. Zhonghua
al (1998) reported one case of bile duct injury during laparoscopic wai Ke za Zhi 1997; 35: 654-56.
cholecystectomy, who died postoperatively due to multi-organ 8. Richardson MC, Bell G, Fullarton GM. Incidence and nature of
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system failure. There was/were no evidence/s or finding/s bile duct injuries following laparoscopic cholecystectomy: an
which could substantiate the allegation of negligence against audit of 5913 cases. West of Scotland Laparoscopic
Cholecystectomy Audit Group. Br J Surg 1996; 83:1356-60.
the treating doctors. The literature supports the bile duct injury 9. Francoeur JR, Wiseman K, Buczkowski AK, Chung SW,
as an inherent risk of procedure. Scudamore CH. Surgeon’s anonymous response after bile duct
injury during cholecystectomy. Am J Surg 2003;185:468-75.
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