Medicolegal analysis of bile duct injury during open cholecystectomy and abdominal surgery.
To understand the medicolegal impact of bile duct injury, we analyzed 68 cases of biliary injury resulting from open cholecystectomy and abdonunal surgery.
Cases were litigated within the US civil justice system between 1970 and 1991.
Operations resulting in bile duct complications included cholecystectomy for cholelithiasis in 49 patients (72%), common bile duct exploration in 5 patients (7%), and other abdominal operations in 7 patients (10%) ; 7 operations were of unknown type.
The average delay in recognition of injury was 16 days (range 3 to 42).
The mortality rate was 18% (12 of 68).
Median jury verdict awards in successfully litigated cases were twice that of out-of-court settlements ($500,000 versus $250,000, P=0.01).
Mots-clés Pascal : Cholécystectomie, Chirurgie, Aspect médicolégal, Indemnité dédommagement, Homme, Etats Unis, Médecine légale, Iatrogène, Voie biliaire pathologie, Amérique du Nord, Amérique, Abdomen pathologie
Mots-clés Pascal anglais : Cholecystectomy, Surgery, Forensic aspect, Indemnity, Human, United States, Legal medicine, Iatrogenic, Biliary tract disease, North America, America, Abdominal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0226081
Code Inist : 002B30A10. Création : 09/06/1995.