THE VALUE OF A PREOPERATIVE SCORE TO ASSES THE RISK FOR IATROGENIC INJURY OCCURRED DURING CHOLECYSTECTOMY
Accepted
28 March 2026
Available Online
15 July 2015
Abstract
THE PURPOSE OF THIS PAPER IS TO DEMONSTR ATE TH E VALIDITY OF A PREO PERATIVE SCORE MEANT TO DECREASE THE INCIDENCE OF IATROGENIC BILIARY DUCT INJURIES. DESPITE THE INTRODUC TION OF NEW MININVAS IVE TECHNIQUES – ENDOSCOPIC AND LAPAROSCOPIC – THE NUMBER OF ACCIDENTS AND INCIDENTS ENCOUNTERED INCREASED. THE INCIDENCE OF EXTRAHEPATIC BILIARY LESIONS IS DOUBLE IN LAPAROSCOPIC SURGERY (0.4- 0.6%) COMPARED TO OPEN SURGERY (0.2-0.3%), SEVERITY OF INJURIES CONSISTING OF SURGICAL REPAIR DIFFICULTIES. THE PERSONAL EFFORT MADE BY PROSPECTIVE ANALYSIS TO CALCULATE A PREOPERATIVE RISK SCORE TO PREDICT TH E POSSIBILITY OF IA TROGENIC INJURY AND TO SET THE INDICATI ON TO PERFORM PREOPERATIVE OR INTRAOPERATIVE FURTHER INVESTIGATIONS. I ENROLLED A TOTAL OF 62 PATIENTS WHO HAD INDICATION FOR C HOLECYSTECTOMY AND CALCULATED FOR EACH ONE THE PREOPERATIVE SCORE. THE RESULTS SHOWED T HAT THE PATIENTS WITH A SCOR E HIGHER THAN 5 POIN TS HAVE A SIGNIFICAN T RISK FOR IATROGENI C BILIARY LESION.
Keywords
IATROGENIC BILIARY LESIONS
PREOPERATIVE SCORE BACKGROUND
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