Injuries during Laparoscopic Cholecystectomy: A Scoping Review of the Claims and Civil Action Judgements

Background. To define what type of injuries are more frequently related to medicolegal claims and civil action judgments. Methods. We performed a scoping review on 14 studies and 2406 patients, analyzing medicolegal claims related to laparoscopic cholecystectomy injuries. We have focalized on three...

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Autores principales:	Roberto Cirocchi, Laura Panata, Ewen A. Griffiths, Giovanni D. Tebala, Massimo Lancia, Piergiorgio Fedeli, Augusto Lauro, Gabriele Anania, Stefano Avenia, Salomone Di Saverio, Gloria Burini, Angelo De Sol, Anna Maria Verdelli
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	biliary injury laparoscopic cholecystectomy postoperative complications litigation legal practice Medicine R
Acceso en línea:	https://doaj.org/article/37a7dd8f0f4d4e85ad5d5c47bdc594d1
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spelling	oai:doaj.org-article:37a7dd8f0f4d4e85ad5d5c47bdc594d12021-11-25T18:00:46ZInjuries during Laparoscopic Cholecystectomy: A Scoping Review of the Claims and Civil Action Judgements10.3390/jcm102252382077-0383https://doaj.org/article/37a7dd8f0f4d4e85ad5d5c47bdc594d12021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5238https://doaj.org/toc/2077-0383Background. To define what type of injuries are more frequently related to medicolegal claims and civil action judgments. Methods. We performed a scoping review on 14 studies and 2406 patients, analyzing medicolegal claims related to laparoscopic cholecystectomy injuries. We have focalized on three phases associated with claims: phase of care, location of injuries, type of injuries. Results. The most common phase of care associated with litigation was the improper intraoperative surgical performance (47.6% ± 28.3%), related to a “poor” visualization, and the improper post-operative management (29.3% ± 31.6%). The highest rate of defense verdicts was reported for the improper post-operative management of the injury (69.3% ± 23%). A lower rate was reported in the incorrect presurgical assessment (39.7% ± 24.4%) and in the improper intraoperative surgical performance (21.39% ± 21.09%). A defense verdict was more common in cystic duct injuries (100%), lower in hepatic bile duct (42.9%) and common bile duct (10%) injuries. Conclusions. During laparoscopic cholecystectomy, the most common cause of claims, associated with lower rate of defense verdict, was the improper intraoperative surgical performance. The decision to take legal action was determined often for poor communication after the original incident.Roberto CirocchiLaura PanataEwen A. GriffithsGiovanni D. TebalaMassimo LanciaPiergiorgio FedeliAugusto LauroGabriele AnaniaStefano AveniaSalomone Di SaverioGloria BuriniAngelo De SolAnna Maria VerdelliMDPI AGarticlebiliary injurylaparoscopic cholecystectomypostoperative complicationslitigationlegal practiceMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5238, p 5238 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	biliary injury laparoscopic cholecystectomy postoperative complications litigation legal practice Medicine R
spellingShingle	biliary injury laparoscopic cholecystectomy postoperative complications litigation legal practice Medicine R Roberto Cirocchi Laura Panata Ewen A. Griffiths Giovanni D. Tebala Massimo Lancia Piergiorgio Fedeli Augusto Lauro Gabriele Anania Stefano Avenia Salomone Di Saverio Gloria Burini Angelo De Sol Anna Maria Verdelli Injuries during Laparoscopic Cholecystectomy: A Scoping Review of the Claims and Civil Action Judgements
description	Background. To define what type of injuries are more frequently related to medicolegal claims and civil action judgments. Methods. We performed a scoping review on 14 studies and 2406 patients, analyzing medicolegal claims related to laparoscopic cholecystectomy injuries. We have focalized on three phases associated with claims: phase of care, location of injuries, type of injuries. Results. The most common phase of care associated with litigation was the improper intraoperative surgical performance (47.6% ± 28.3%), related to a “poor” visualization, and the improper post-operative management (29.3% ± 31.6%). The highest rate of defense verdicts was reported for the improper post-operative management of the injury (69.3% ± 23%). A lower rate was reported in the incorrect presurgical assessment (39.7% ± 24.4%) and in the improper intraoperative surgical performance (21.39% ± 21.09%). A defense verdict was more common in cystic duct injuries (100%), lower in hepatic bile duct (42.9%) and common bile duct (10%) injuries. Conclusions. During laparoscopic cholecystectomy, the most common cause of claims, associated with lower rate of defense verdict, was the improper intraoperative surgical performance. The decision to take legal action was determined often for poor communication after the original incident.
format	article
author	Roberto Cirocchi Laura Panata Ewen A. Griffiths Giovanni D. Tebala Massimo Lancia Piergiorgio Fedeli Augusto Lauro Gabriele Anania Stefano Avenia Salomone Di Saverio Gloria Burini Angelo De Sol Anna Maria Verdelli
author_facet	Roberto Cirocchi Laura Panata Ewen A. Griffiths Giovanni D. Tebala Massimo Lancia Piergiorgio Fedeli Augusto Lauro Gabriele Anania Stefano Avenia Salomone Di Saverio Gloria Burini Angelo De Sol Anna Maria Verdelli
author_sort	Roberto Cirocchi
title	Injuries during Laparoscopic Cholecystectomy: A Scoping Review of the Claims and Civil Action Judgements
title_short	Injuries during Laparoscopic Cholecystectomy: A Scoping Review of the Claims and Civil Action Judgements
title_full	Injuries during Laparoscopic Cholecystectomy: A Scoping Review of the Claims and Civil Action Judgements
title_fullStr	Injuries during Laparoscopic Cholecystectomy: A Scoping Review of the Claims and Civil Action Judgements
title_full_unstemmed	Injuries during Laparoscopic Cholecystectomy: A Scoping Review of the Claims and Civil Action Judgements
title_sort	injuries during laparoscopic cholecystectomy: a scoping review of the claims and civil action judgements
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/37a7dd8f0f4d4e85ad5d5c47bdc594d1
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Injuries during Laparoscopic Cholecystectomy: A Scoping Review of the Claims and Civil Action Judgements

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