System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy

Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

Volumn 17, Issue 3, 2007, Pages 164-170

  Lien, Heng Hui ^a,b   Huang, Chi Cheng ^a,b   Liu, Jung Sen ^a,b   Shi, Min Yean ^a   Chen, Der Fang ^a   Wang, Nai Yuan ^a   Tai, Feng Chuan ^a   Huang, Ching Shui ^a,c  

^a FU JEN CATHOLIC UNIVERSITY   (Taiwan)

^b FU JEN CATHOLIC UNIVERSITY   (Taiwan)

^c Cathay Medical Center   (Taiwan)

Author keywords

Bile duct injury; Laparoscopic cholecystectomy; System approach

Indexed keywords

ARTICLE; CHOLECYSTECTOMY; COMMON BILE DUCT DISEASE; DRAIN; ELECTIVE SURGERY; HUMAN; INCIDENCE; LAPAROSCOPIC SURGERY; MAJOR CLINICAL STUDY; OPERATION DURATION; PATIENT SELECTION; PRIORITY JOURNAL; STATISTICAL SIGNIFICANCE; SURGICAL TECHNIQUE; TRAINING;

ACCIDENT PREVENTION; CHOLECYSTECTOMY, LAPAROSCOPIC; COMMON BILE DUCT; DRAINAGE; EMERGENCIES; HUMANS; IATROGENIC DISEASE; INTERNSHIP AND RESIDENCY; MODELS, THEORETICAL; PATIENT SELECTION; SURGERY; SURGICAL PROCEDURES, ELECTIVE; SYSTEMS ANALYSIS; TIME FACTORS; WOUNDS AND INJURIES;

EID: 34250855157     PISSN: 15304515     EISSN: 15344908     Source Type: Journal    
DOI: 10.1097/SLE.0b013e31804d44bb     Document Type: Article

References (23)

1. Soper NJ, Brunt LM, Kerbl K. Laparoscopic general surgery. N Engl J Med. 1994;330:409-419.
2. Twomey P. General surgery. JAMA. 1993;270:211-213.
3. Adamsen S, Hansen OH, Funch-Jensen P, et al. Bile duct injury during laparoscopic cholecystectomy: a prospective nationwide series. J Am Coll Surg. 1997;184:571-578.
4. Archer SB, Brown DW, Smith D, et al. Bile duct injury during laparoscopic cholecystectomy: results of a national survey. Ann Surg. 2001;234:549-559.
5. Lien HH, Huang CS, Shi MY, et al. Management of bile leakage post laparoscopic cholecystectomy according to etiological classification. Surg Today. 2004;34:326-330.
6. Huang CS, Lien HH, Tai FC, et al. Long-term results of major bile duct injury associated with laparoscopic cholecystectomy. Surg EndoscUltra. 2003;17:1362-1367.
7. Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg. 1995;180:101-105.
8. Hannan EL, Imperato PJ, Nenner RP, et al. Laparoscopic and open cholecystectomy in New York State: mortality, complications, and choice of procedure. Surgery. 1999;125:223-231.
9. Deziel DJ, Millikan KW, Economou SG, et al. Complications of laparoscopic cholecystectomy: a National Survey of 4,292 Hospitals and an Analysis of 77,604 Cases. Am J Surg. 1993;165:9-14.
10. MacFadyen BV, Vecchio R, Ricardo AE, et al. Bile duct injury after laparoscopic cholecystectomy The United States experience. Surg Endosc. 1998;12:315-321.
11. David RF, Cheadle A, Prela C, et al. Bile duct injury during cholecystectomy and survival in medicare beneficiaries. JAMA. 2003;290:2168-2173.
12. Committee on Quality of Health Care in America, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
13. Kohn LT, Corrigan JM, Donaldson MS. Committee on Quality of Health Care in America. To Err is Human Building a Safer Health System. Washington, DC: National Academy Press; 2000.
14. Reason J. Human error: models and management. Br Med J. 2000;320:768-770.
15. Leape LL. Error in medicine. JAMA. 1994;272:1851-1857.
16. Nolan TW. System change to improve patient safety. Br Med J. 2000;320:771-773.
17. Hugh TB. New strategies to prevent laparoscopic bile duct injury-surgeons can learn from pilots. Surgery. 2002;132:826-835.
18. Way LW, Stewart L, Gantert W, et al. Causes and prevention of laparoscopic bile duct injuries-analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg. 2003;237:460-469.
19. Vincent C, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety from concept to measurement. Ann Surg. 2004;239:475-482.
20. Schoenbaum SC, Bovbjerg RR. Malpractice reform must include steps to prevent medical injury. Ann Intern Med. 2004;140:51-53.
21. Flum DR, Dellinger EP, Cheadle A, et al. Intraoperative cholangiography and risk of common bile duct injury during cholecystectomy. JAMA. 2003;289:1639-1644.
22. Tang B, Hanna GB, Joice P, et al. Identification and categorization of technical errors by observational clinical human reliability assessment (OCHRA) during laparoscopic cholecystectomy. Arch Surg. 2004;139:1215-1220.
23. Grober ED, Hamstra SJ, Wanzel KR, et al. The educational impact of bench model fidelity on the acquisition of technical skill. The use of clinically relevant outcome measures. Ann Surg. 2004;240:374-381.