FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4313702917> ?p ?o ?g. }

• W4313702917 abstract "Abstract Introduction Bile duct injury represents major morbidity and mortality, and in the last two decades in which laparoscopy cholecystectomy has been universally available several factors associated with bile duct injury have been described: one of them being the surgeon's training and experience in laparoscopic cholecystectomy. Some authors have reported that the training curve stabilizes the risk of bile duct injury from 1.7 to 0.17% by procedure number 50. Given that most surgical residency programs don't have enough experience in laparoscopy, this likely contributes to the development of bile duct injury. Therefore, it is important to elucidate the risk factors for bile duct injury in our country. Methods In a referral center we collected the data from 10 years of experience in bile duct repair for bile duct injury. The clinical records for 83 patients were obtained and analyzed. Results High-quality hepaticojejunostomy was performed in all 117 cases, 89.8% open, 8.5% laparoscopic and 1.7% was converted from laparoscopic to open. In 41% of patients, partial resection of the IV segment was necessary. the main post-operatory complication was surgical site infection in 19.6%, overall mortality was 3.4%. according to McDonald Classification for Group A 56.4%, Group B 28.2%, Group C 10.2%, Group D 5.2%, in long-term follow-up. Conclusions Surprisingly, the open cholecystectomy was the most common procedure associated with bile duct injury in our population. Postoperative injury detection was the most frequent, and the most common injury location was near the confluence. We obtained good long-term results even the type of injuries. The disproportion between training centers and hospitals all around the country may impact these results due to the lack of experience of the young surgeons that have only had training in laparoscopic surgery and the lack of universal laparoscopic availability for emergencies. The patients that suffer from this complication are of middle age, and there is a significant disproportion between males and females, with females being the most affected group. It has an impact on their quality of life. High-quality hepaticojejunostomy with Hepp-couinaud technique provides good long-term results, with no difference between the 1–5 year and the 6–10 year groups. The segment IV hepatectomy represents a good option to access the hilar plate. It is important to continue to expose surgeons during their residencies to open cholecystectomy. Prevention is the cheapest and safest way to decrease the incidence of bile duct injury. The implementation of high-volume centers such as ours is important to bring early and high-quality solutions to problems like these." @default.
• W4313702917 created "2023-01-08" @default.
• W4313702917 creator A5012390641 @default.
• W4313702917 creator A5019873402 @default.
• W4313702917 creator A5038989837 @default.
• W4313702917 creator A5045829832 @default.
• W4313702917 creator A5054164450 @default.
• W4313702917 creator A5084957768 @default.
• W4313702917 date "2023-01-04" @default.
• W4313702917 modified "2023-09-26" @default.
• W4313702917 title "MANAGEMENT OF BILE DUCT INJURY IN A REFERRAL CENTER, 10 YEARS OF EXPERIENCE" @default.
• W4313702917 doi "https://doi.org/10.1093/bjs/znac443.002" @default.
• W4313702917 hasPublicationYear "2023" @default.
• W4313702917 type Work @default.
• W4313702917 citedByCount "0" @default.
• W4313702917 crossrefType "journal-article" @default.
• W4313702917 hasAuthorship W4313702917A5012390641 @default.
• W4313702917 hasAuthorship W4313702917A5019873402 @default.
• W4313702917 hasAuthorship W4313702917A5038989837 @default.
• W4313702917 hasAuthorship W4313702917A5045829832 @default.
• W4313702917 hasAuthorship W4313702917A5054164450 @default.
• W4313702917 hasAuthorship W4313702917A5084957768 @default.
• W4313702917 hasBestOaLocation W43137029171 @default.
• W4313702917 hasConcept C141071460 @default.
• W4313702917 hasConcept C2776135927 @default.
• W4313702917 hasConcept C2776641081 @default.
• W4313702917 hasConcept C2779777945 @default.
• W4313702917 hasConcept C2780047204 @default.
• W4313702917 hasConcept C2908647359 @default.
• W4313702917 hasConcept C2987287001 @default.
• W4313702917 hasConcept C512399662 @default.
• W4313702917 hasConcept C61434518 @default.
• W4313702917 hasConcept C71924100 @default.
• W4313702917 hasConcept C81182388 @default.
• W4313702917 hasConcept C99454951 @default.
• W4313702917 hasConceptScore W4313702917C141071460 @default.
• W4313702917 hasConceptScore W4313702917C2776135927 @default.
• W4313702917 hasConceptScore W4313702917C2776641081 @default.
• W4313702917 hasConceptScore W4313702917C2779777945 @default.
• W4313702917 hasConceptScore W4313702917C2780047204 @default.
• W4313702917 hasConceptScore W4313702917C2908647359 @default.
• W4313702917 hasConceptScore W4313702917C2987287001 @default.
• W4313702917 hasConceptScore W4313702917C512399662 @default.
• W4313702917 hasConceptScore W4313702917C61434518 @default.
• W4313702917 hasConceptScore W4313702917C71924100 @default.
• W4313702917 hasConceptScore W4313702917C81182388 @default.
• W4313702917 hasConceptScore W4313702917C99454951 @default.
• W4313702917 hasIssue "Supplement_1" @default.
• W4313702917 hasLocation W43137029171 @default.
• W4313702917 hasOpenAccess W4313702917 @default.
• W4313702917 hasPrimaryLocation W43137029171 @default.
• W4313702917 hasRelatedWork W1824591377 @default.
• W4313702917 hasRelatedWork W2102644969 @default.
• W4313702917 hasRelatedWork W2159210201 @default.
• W4313702917 hasRelatedWork W2372608874 @default.
• W4313702917 hasRelatedWork W3015169455 @default.
• W4313702917 hasRelatedWork W3148324187 @default.
• W4313702917 hasRelatedWork W3203621466 @default.
• W4313702917 hasRelatedWork W4232844502 @default.
• W4313702917 hasRelatedWork W4238744024 @default.
• W4313702917 hasRelatedWork W72756887 @default.
• W4313702917 hasVolume "110" @default.
• W4313702917 isParatext "false" @default.
• W4313702917 isRetracted "false" @default.
• W4313702917 workType "article" @default.