Specialist Registrar General Surgery, South-East Thames, UK.
Int J Clin Pract. 2010 Dec;64(13):1832-5. doi: 10.1111/j.1742-1241.2009.02200.x.
Approximately, 50,000 cholecystectomies are performed annually in the United Kingdom resulting in a number of negligence claims referred to the NHS Litigation Authority (NHSLA). The aim of this study was to assess the prevalence and outcomes of claims reported to the NHSLA after laparoscopic cholecystectomy performed in England between 1995 and 2008.
Data were requested from the NHSLA on all claims related to laparoscopic cholecystectomy which occurred in England between 1995 and 2008.
A review of the data provided by the NHSLA data identified over 300 claims in this time period. Of the claims identified, 244 have been completed. Common bile duct injury (41%), bile leak (12%), bowel injury (9%), haemorrhage (9%) and fatality (9%) were the most frequent types of claim. Common bile duct injury resulted in the highest proportion of successful claims (86%) and the largest sums paid to the claimant (average £65,000).
Common bile duct injury is the most common claim to the NHSLA after laparoscopic cholecystectomy and results in the highest proportion of successful claims and the largest sums paid to the claimant.
在英国，每年大约进行 50,000 例胆囊切除术，导致向英国国家卫生服务体系诉讼局（NHSLA）提出了许多疏忽索赔。本研究旨在评估 1995 年至 2008 年期间在英格兰进行腹腔镜胆囊切除术的 NHSLA 报告的索赔的发生率和结果。
向 NHSLA 请求了 1995 年至 2008 年期间在英格兰进行的与腹腔镜胆囊切除术相关的所有索赔的数据。
对 NHSLA 提供的数据进行审查，确定在此期间有 300 多起索赔。在所确定的索赔中，有 244 起已结案。胆总管损伤（41%）、胆漏（12%）、肠损伤（9%）、出血（9%）和死亡（9%）是最常见的索赔类型。胆总管损伤导致成功索赔的比例最高（86%），并向索赔人支付了最高金额（平均 65,000 英镑）。
胆总管损伤是腹腔镜胆囊切除术后向 NHSLA 提出的最常见的索赔，导致成功索赔的比例最高，向索赔人支付的金额最高。
