Management of iatrogenic bile duct injuries: Multiple logistic regression analysis of predictive factors affecting morbidity and mortality

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dc.contributor.authorEkmekcigil, Ela
dc.contributor.authorUnalp, Omer
dc.contributor.authorUguz, Alper
dc.contributor.authorHasanov, Ruslan
dc.contributor.authorBozkaya, Halil
dc.contributor.authorKose, Timur
dc.contributor.authorParildar, Mustafa
dc.contributor.authorOzutemiz, Omer
dc.contributor.authorCoker, Ahmet
dc.date.accessioned2019-10-27T09:59:41Z
dc.date.available2019-10-27T09:59:41Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: latrogenic bile duct injuries remain a challenge for the surgeons to overcome. The predictive factors affecting morbidity and mortality are important for determining the best management modality. Material and Methods: The patients who referred to Ege University Faculty of Medicine after laparoscopy associated iatrogenic bile duct injury are grouped according to Strasberg-Bismuth classification system. The type and number of prior attempts, concomitant complications, and treatment modalities are analyzed using the SPSS version 18 IBM, Chicago, IL, USA), The variables with p<0.10 were considered for univariate analysis and then evaluated for predictive factors by forward Logistic Regression method using multiple logistic regression analysis. Results: According to the analysis of 105 patients who were referred during 2004-2014, the type and number of prior attempts are considered predictive factors in sepsis. In multiple logistic regression analysis, abscess formation, concomitant vascular injury, and serum bilirubin level are significantly effective in predicting mortality. Conclusion: The management of iatrogenic bile duct injuries should be carefully planned with a multidisciplinary approach, The predictive factors affecting morbidity and mortality are important in determining the best modality for managing iatrogenic bile duct injuries, Abscess formation, vascular injury, and serum bilirubin level are the potential risk factors. Therefore, we can strongly recommend immediate assessment of patients for prompt diagnosis and referring to an HPB center, to avoid further injuries.en_US
dc.identifier.doi10.5152/turkjsurg.2018.3888en_US
dc.identifier.endpage270en_US
dc.identifier.issn2564-6850
dc.identifier.issn2564-7032
dc.identifier.issue4en_US
dc.identifier.pmid30216168en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage264en_US
dc.identifier.urihttps://doi.org/10.5152/turkjsurg.2018.3888
dc.identifier.urihttps://hdl.handle.net/11454/29653
dc.identifier.volume34en_US
dc.identifier.wosWOS:000456525700003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Surgical Assocen_US
dc.relation.ispartofTurkish Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBile duct injuryen_US
dc.subjectlaparoscopyen_US
dc.subjectpredictive factorsen_US
dc.titleManagement of iatrogenic bile duct injuries: Multiple logistic regression analysis of predictive factors affecting morbidity and mortalityen_US
dc.typeArticleen_US

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