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[The absence of haptic perception in laparoscopic cholecystectomy--risk factor for biliary lesions].

Identifieur interne : 002191 ( PubMed/Checkpoint ); précédent : 002190; suivant : 002192

[The absence of haptic perception in laparoscopic cholecystectomy--risk factor for biliary lesions].

Auteurs : D. Vinti ; C N Neac U ; P. Popa ; E. Târcoveanu ; St O. Georgescu

Source :

RBID : pubmed:19388566

English descriptors

Abstract

Bile duct injuries are the main serious technical complication of laparoscopic cholecystectomy (LC). Each lesion is peculiar in its features as well as the surgeon's reaction when face it.

PubMed: 19388566


Affiliations:


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pubmed:19388566

Le document en format XML

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<title xml:lang="en">[The absence of haptic perception in laparoscopic cholecystectomy--risk factor for biliary lesions].</title>
<author>
<name sortKey="Vinti, D" sort="Vinti, D" uniqKey="Vinti D" first="D" last="Vinti">D. Vinti</name>
<affiliation>
<nlm:affiliation>Clinica I Chirurgie, Spitalul Sf. Spiridon, UMF Gr. T. Popa Iaşi. delvin0511@yahoo.com</nlm:affiliation>
<wicri:noCountry code="subField">UMF Gr</wicri:noCountry>
</affiliation>
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<author>
<name sortKey="Neac U, C N" sort="Neac U, C N" uniqKey="Neac U C" first="C N" last="Neac U">C N Neac U</name>
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<author>
<name sortKey="Popa, P" sort="Popa, P" uniqKey="Popa P" first="P" last="Popa">P. Popa</name>
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<author>
<name sortKey="Tarcoveanu, E" sort="Tarcoveanu, E" uniqKey="Tarcoveanu E" first="E" last="Târcoveanu">E. Târcoveanu</name>
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<author>
<name sortKey="Georgescu, St O" sort="Georgescu, St O" uniqKey="Georgescu S" first="St O" last="Georgescu">St O. Georgescu</name>
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<MedlineDate>2009 Jan-Feb</MedlineDate>
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<title xml:lang="en">[The absence of haptic perception in laparoscopic cholecystectomy--risk factor for biliary lesions].</title>
<author>
<name sortKey="Vinti, D" sort="Vinti, D" uniqKey="Vinti D" first="D" last="Vinti">D. Vinti</name>
<affiliation>
<nlm:affiliation>Clinica I Chirurgie, Spitalul Sf. Spiridon, UMF Gr. T. Popa Iaşi. delvin0511@yahoo.com</nlm:affiliation>
<wicri:noCountry code="subField">UMF Gr</wicri:noCountry>
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<name sortKey="Neac U, C N" sort="Neac U, C N" uniqKey="Neac U C" first="C N" last="Neac U">C N Neac U</name>
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<author>
<name sortKey="Popa, P" sort="Popa, P" uniqKey="Popa P" first="P" last="Popa">P. Popa</name>
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<author>
<name sortKey="Tarcoveanu, E" sort="Tarcoveanu, E" uniqKey="Tarcoveanu E" first="E" last="Târcoveanu">E. Târcoveanu</name>
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<author>
<name sortKey="Georgescu, St O" sort="Georgescu, St O" uniqKey="Georgescu S" first="St O" last="Georgescu">St O. Georgescu</name>
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<series>
<title level="j">Chirurgia (Bucharest, Romania : 1990)</title>
<idno type="ISSN">1221-9118</idno>
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<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Bile Ducts (injuries)</term>
<term>Cholecystectomy, Laparoscopic (adverse effects)</term>
<term>Cholecystectomy, Laparoscopic (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Psychomotor Performance</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Statistics, Nonparametric</term>
<term>Stereognosis</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Cholecystectomy, Laparoscopic</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Bile Ducts</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Cholecystectomy, Laparoscopic</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Psychomotor Performance</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Statistics, Nonparametric</term>
<term>Stereognosis</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">Bile duct injuries are the main serious technical complication of laparoscopic cholecystectomy (LC). Each lesion is peculiar in its features as well as the surgeon's reaction when face it.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Owner="NLM" Status="MEDLINE">
<PMID Version="1">19388566</PMID>
<DateCreated>
<Year>2009</Year>
<Month>04</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted>
<Year>2009</Year>
<Month>06</Month>
<Day>19</Day>
</DateCompleted>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1221-9118</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>104</Volume>
<Issue>1</Issue>
<PubDate>
<MedlineDate>2009 Jan-Feb</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Chirurgia (Bucharest, Romania : 1990)</Title>
<ISOAbbreviation>Chirurgia (Bucur)</ISOAbbreviation>
</Journal>
<ArticleTitle>[The absence of haptic perception in laparoscopic cholecystectomy--risk factor for biliary lesions].</ArticleTitle>
<Pagination>
<MedlinePgn>31-6</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Bile duct injuries are the main serious technical complication of laparoscopic cholecystectomy (LC). Each lesion is peculiar in its features as well as the surgeon's reaction when face it.</AbstractText>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">To reveal the place of the human error according to accepted principles of cognitive psychology, beside other risk-factors involved in biliary accidents during LC.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">Retrospective study on 18 patients treated for severe biliary lesions during LC in 1st Surgical Clinic of "Sf. Spiridon" Hospital, Iaşi, Romania, between March 1993 and March 2008. According to Strasberg's classification the lesions were: type C (n=1; 3%), type D (n=13; 39.4%), type E1-2 (n=2; 6.1%) and type E5 (n=2; 6.1%). In the medical records we followed up the technical aspects of the procedure (section, dissection, clips) and the lesional and anatomic factors attended at the moment of LC. We also assessed the concerned surgeons experience based on the number of the LC at time of the biliary accident.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In our experience (10046 LC) the incidence of the biliary injuries was 0.1% only. We met four lesional and/or anatomic factors (mean) on each case with biliary lesion. Only five cases (27.7%) were detected intraoperatively, but Spearman's correlation between time of detection and surgeons experience is insignificant.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our results, rounded with cognitive psychology data from literature, suggest the role of the absence of haptic perception during laparoscopic procedures, in the occurrence of some errors, even in circumstances with "perfect visibility".</AbstractText>
</Abstract>
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<Initials>D</Initials>
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<Affiliation>Clinica I Chirurgie, Spitalul Sf. Spiridon, UMF Gr. T. Popa Iaşi. delvin0511@yahoo.com</Affiliation>
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<LastName>Neacşu</LastName>
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<VernacularTitle>Absenţa percepţiei haptice în colecistectomia laparoscopică--factor de risc pentru leziuni biliare.</VernacularTitle>
</Article>
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<Country>Romania</Country>
<MedlineTA>Chirurgia (Bucur)</MedlineTA>
<NlmUniqueID>9213031</NlmUniqueID>
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<DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D001652">Bile Ducts</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D017081">Cholecystectomy, Laparoscopic</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName>
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<DescriptorName MajorTopicYN="Y" UI="D011597">Psychomotor Performance</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D012307">Risk Factors</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D018709">Statistics, Nonparametric</DescriptorName>
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<DescriptorName MajorTopicYN="Y" UI="D013236">Stereognosis</DescriptorName>
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<name sortKey="Georgescu, St O" sort="Georgescu, St O" uniqKey="Georgescu S" first="St O" last="Georgescu">St O. Georgescu</name>
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<name sortKey="Popa, P" sort="Popa, P" uniqKey="Popa P" first="P" last="Popa">P. Popa</name>
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