Male sex and acute cholecystitis significantly elevate the risk of bile duct injury during cholecystectomy, with adjusted odds ratios of 1.27 and 1.74, respectively. The meta-analysis, examining over 6.5 million surgeries, also found inconsistent documentation of the critical view of safety, which lacked a statistical link to reduced injury rates. Routine use of intraoperative cholangiograms did not correlate with decreased injuries. Addressing these factors can enhance risk stratification and inform surgical consent processes.
Review by Burns R, Connor KL (…) Sherif AE et 4 al. in BJS Open
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