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  • Title: [Bile duct injury after cholecystectomy: risk of mortality substantially higher].
    Author: Gouma DJ, Rauws EA, Laméris JS.
    Journal: Ned Tijdschr Geneeskd; 2004 May 22; 148(21):1020-4. PubMed ID: 15185435.
    Abstract:
    Previous studies showed that bile duct injury after cholecystectomy is associated with substantial morbidity and a negative effect on Quality of Life. In a recent study, patients with a bile duct injury after cholecystectomy exhibited a 3-fold increase in mortality during a follow-up period of nine years compared to patients without injury. This is the first study to demonstrate a negative impact of bile duct injury on survival. Repair by a less experienced surgeon leads to an 11% higher mortality during follow-up. Cholangiography should probably be performed routinely during cholecystectomy. A bile duct lesion should be suspected when the patient has not recovered within 48 hours. Endoscopic or percutaneous treatment of stenoses or leakage is usually successful, even after several weeks.
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