{"id":"https://openalex.org/W1539799233","doi":null,"title":"Complications of laparoscopic cholecystectomy.","display_name":"Complications of laparoscopic cholecystectomy.","publication_year":1991,"publication_date":"1991-10-01","ids":{"openalex":"https://openalex.org/W1539799233","mag":"1539799233","pmid":"https://pubmed.ncbi.nlm.nih.gov/1833848"},"language":"en","primary_location":{"id":"pmid:1833848","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1833848","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgery","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5020843186","display_name":"Jeffrey H. Peters","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1288070718","display_name":"Grant Medical Center","ror":"https://ror.org/02wgfsz09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288070718"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J H Peters","raw_affiliation_strings":["Ohio Digestive Disease Institute, Grant Medical Center, Columbus, Ohio"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ohio Digestive Disease Institute, Grant Medical Center, Columbus, Ohio","institution_ids":["https://openalex.org/I1288070718"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079809981","display_name":"Gregory Gibbons","orcid":"https://orcid.org/0009-0004-2044-9371","observed_orcids":["https://orcid.org/0009-0004-2044-9371"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"G D Gibbons","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032491165","display_name":"J T Innes","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J T Innes","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111560357","display_name":"Keith E. Nichols","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"K E Nichols","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022174814","display_name":"Mary E. Front","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M E Front","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5097745680","display_name":"SHERI R. ROBY","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S R Roby","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5109307105","display_name":"E C Ellison","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"E C Ellison","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":21.2204,"has_fulltext":false,"cited_by_count":176,"citation_normalized_percentile":{"value":0.99525285,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"110","issue":"4","first_page":"769","last_page":"77; discussion 777"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13697","display_name":"Biliary and Gastrointestinal Fistulas","score":0.002899999963119626,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12053","display_name":"Minimally Invasive Surgical Techniques","score":0.0026000000070780516,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/laparoscopic-cholecystectomy","display_name":"laparoscopic cholecystectomy","score":0.9990000128746033},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.921999990940094},{"id":"https://openalex.org/keywords/bile-duct-injury","display_name":"bile duct injury","score":0.9819999933242798},{"id":"https://openalex.org/keywords/bile-leak","display_name":"bile leakage","score":0.8569999933242798},{"id":"https://openalex.org/keywords/retained-gallstones","display_name":"retained gallstones","score":0.8759999871253967},{"id":"https://openalex.org/keywords/conversion-to-open-cholecystectomy","display_name":"conversion to open cholecystectomy","score":0.9800000190734863},{"id":"https://openalex.org/keywords/duodenal-perforation","display_name":"duodenal perforation","score":0.9430000185966492},{"id":"https://openalex.org/keywords/wound-infection","display_name":"wound infection","score":0.6349999904632568},{"id":"https://openalex.org/keywords/ileus","display_name":"ileus","score":0.6439999938011169},{"id":"https://openalex.org/keywords/patient-selection","display_name":"patient selection","score":0.5120000243186951}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9766801595687866},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.696337103843689},{"id":"https://openalex.org/C2780778865","wikidata":"https://www.wikidata.org/wiki/Q1130374","display_name":"Laparotomy","level":2,"score":0.6576582193374634},{"id":"https://openalex.org/C2776641081","wikidata":"https://www.wikidata.org/wiki/Q638774","display_name":"Cholecystectomy","level":2,"score":0.6291061639785767},{"id":"https://openalex.org/C2777125728","wikidata":"https://www.wikidata.org/wiki/Q738153","display_name":"Ileus","level":2,"score":0.5879373550415039},{"id":"https://openalex.org/C2777153553","wikidata":"https://www.wikidata.org/wiki/Q664439","display_name":"Cystic duct","level":3,"score":0.5644339919090271},{"id":"https://openalex.org/C2776884468","wikidata":"https://www.wikidata.org/wiki/Q1263617","display_name":"Common bile duct","level":2,"score":0.559776782989502},{"id":"https://openalex.org/C2777148285","wikidata":"https://www.wikidata.org/wiki/Q64386","display_name":"Gallbladder","level":2,"score":0.5560017228126526},{"id":"https://openalex.org/C2779777945","wikidata":"https://www.wikidata.org/wiki/Q851111","display_name":"Bile duct","level":2,"score":0.478021502494812},{"id":"https://openalex.org/C2775982439","wikidata":"https://www.wikidata.org/wiki/Q3562150","display_name":"Biliary tract","level":2,"score":0.4657851755619049},{"id":"https://openalex.org/C2780378346","wikidata":"https://www.wikidata.org/wiki/Q1349983","display_name":"Leak","level":2,"score":0.4330528676509857},{"id":"https://openalex.org/C2776919953","wikidata":"https://www.wikidata.org/wiki/Q1492299","display_name":"Gallstone ileus","level":3,"score":0.43027547001838684},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.41564011573791504},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3580336272716522},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.17323428392410278},{"id":"https://openalex.org/C87717796","wikidata":"https://www.wikidata.org/wiki/Q146326","display_name":"Environmental engineering","level":1,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001646","descriptor_name":"Bile","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D001652","descriptor_name":"Bile Ducts","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":false},{"descriptor_ui":"D002758","descriptor_name":"Cholangiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002760","descriptor_name":"Cholangiopancreatography, Endoscopic Retrograde","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002763","descriptor_name":"Cholecystectomy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D002763","descriptor_name":"Cholecystectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D002769","descriptor_name":"Cholelithiasis","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D002769","descriptor_name":"Cholelithiasis","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D002769","descriptor_name":"Cholelithiasis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D004724","descriptor_name":"Endoscopy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005704","descriptor_name":"Gallbladder","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010149","descriptor_name":"Postoperative Pain","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010535","descriptor_name":"Laparoscopy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013530","descriptor_name":"Surgical Wound Infection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014950","descriptor_name":"Wounds, Penetrating","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:1833848","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1833848","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgery","raw_type":"Journal Article"},{"id":"mag:1539799233","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1833848","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W130536326","https://openalex.org/W4312739971","https://openalex.org/W2462747932","https://openalex.org/W2038366592","https://openalex.org/W2358594493","https://openalex.org/W2035199032","https://openalex.org/W1575549070","https://openalex.org/W2394176351","https://openalex.org/W2399518654","https://openalex.org/W2393548163"],"abstract_inverted_index":{"As":[0],"laparoscopic":[1,25],"cholecystectomy":[2,201],"has":[3],"become":[4],"more":[5],"widely":[6],"practiced,":[7],"the":[8,82,85],"full":[9],"spectrum":[10],"of":[11,34,37,73,172,197,215],"complications":[12,47,104,216],"associated":[13,210],"with":[14,27,61,108,114,120,127,142,163,168,177,185,194,211],"this":[15],"technique":[16],"is":[17,217],"being":[18],"realized.":[19],"We":[20],"have":[21],"performed":[22,204],"283":[23,38],"consecutive":[24],"cholecystectomies":[26],"no":[28],"deaths":[29],"and":[30,55,58,124,191,206,225],"a":[31,91,178],"morbidity":[32],"rate":[33],"5.3%":[35],"(15":[36],"patients;":[39],"six":[40],"major":[41,186],"complications,":[42,144],"nine":[43],"minor":[44],"complications).":[45],"Major":[46],"included":[48,105,160],"one":[49,118,175,183],"bile":[50,65,75,198],"duct":[51,93,165,181,189],"injury":[52],"requiring":[53],"laparotomy":[54],"t-tube":[56],"insertion":[57],"two":[59,112,146,161,192],"patients":[60,70,96,107,113,126,141,147,162,193],"retained":[62],"stones.":[63],"Symptomatic":[64],"leakage":[66],"occurred":[67],"in":[68],"three":[69,106,125],"(1%).":[71],"Two":[72],"these":[74],"leaks":[76],"were":[77,151],"from":[78,156],"accessory":[79],"ducts":[80],"entering":[81],"gallbladder":[83],"bed;":[84],"third":[86],"leak":[87],"was":[88],"secondary":[89],"to":[90,100,153,231],"cystic":[92],"leak.":[94],"Eight":[95],"(2.8%)":[97],"required":[98],"conversion":[99,230],"open":[101],"cholecystectomy.":[102,233],"Minor":[103],"subumbilical":[109],"wound":[110],"infections,":[111,117],"urinary":[115],"tract":[116],"patient":[119,176,184,221],"costochondritis":[121],"after":[122],"operation,":[123],"prolonged":[128],"hospital":[129],"stays":[130],"(more":[131],"than":[132],"48":[133],"hrs)":[134],"caused":[135],"by":[136],"ileus":[137],"or":[138],"fever.":[139],"Several":[140],"life-threatening":[143,212],"including":[145],"who":[148],"ultimately":[149],"died,":[150],"transferred":[152],"our":[154],"care":[155],"other":[157],"centers.":[158],"These":[159],"common":[164,180,187],"injuries":[166],"combined":[167],"duodenal":[169],"perforations":[170],"(one":[171],"whom":[173],"died),":[174],"complete":[179],"transection,":[182],"hepatic":[188],"injury,":[190],"further":[195],"instances":[196],"leakage.":[199],"Laparoscopic":[200],"can":[202,208],"be":[203,209],"safely,":[205],"it":[207],"complications.":[213],"Prevention":[214],"dependent":[218],"on":[219],"proper":[220],"selection,":[222],"meticulous":[223],"technique,":[224],"an":[226],"accepting":[227],"attitude":[228],"toward":[229],"\"open\"":[232]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":5},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
