Outcomes in Laparoscopic Cholecystectomy (Gallbladder Removal) (Updated July 2014)
We reviewed our outcomes for laparoscopic cholecystectomy (removal of the gallbladder using minimally invasive techniques). Although there are a variety of outcomes that might be measured, probably the most significant thing to evaluate is whether or not there was any injury to the common bile duct. Fortunately, this is a rare occurrence, but when it happens, a surgical repair must be done, which can greatly extend the recovery period, and can increase the risk for additional problems (jaundice, liver infections, abdominal symptoms) in the future. It is clear that PREVENTING such an injury is the best goal.
Nationally, the rate of common bile duct injury is about 0.4%, or 1 out of every 250 procedures. Our rate at DeKalb Surgical Associates over the past 10 years, is 0.29% (or 1 out of 340), which is better than the national average. Of course, we strive to have a 0% rate of common bile duct injury. But there are cases where there is so much fibrosis, inflammation, or unusual anatomy, that it may not be possible to avoid.