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[Bile duct injuries in laparoscopic cholecystectomy. A computerized analysis of 148 lesions in 24,440 operations in 89 Hungarian institutes (publication by the Hungarian Society of Surgery)].

The authors analyse the etiology, diagnosis, symptoms, treatment and outcome of 148 biliary tract injuries in connection with 26,440 laparoscopic cholecystectomies performed in Hungary. In univariant analysis, the type of injury, the primary treatment modality did not affect the outcome of injury or the necessity of reoperation; in multivariant analysis, the outcome is significantly influenced adversely by the necessity of repeated interventions and higher age. Disturbances in the identification of anatomic structures lead significantly to more main bile duct injuries than lesions in the region of the cystic duct and cause more complete trans-sections than partial lesions.