Asian race/ethnicity as a risk factor for bile duct injury during cholecystectomy

Stephanie R. Downing, Ghazala Datoo, Tolulope A. Oyetunji, Terrence Fullum, David C. Chang, Nita Ahuja

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Iatrogenic bile duct injury (BDI) is an uncommon but serious complication of cholecystectomy, with identified risk factors of acute cholecystitis, male sex, older age, and aberrant biliary anatomy. The Nationwide Inpatient Sample (1998-2006) was queried for cholecystectomy performed on hospital day 0 or 1. Bile duct injury repair procedure codes were used as a surrogate for BDI. We identified 377 424 patients who underwent cholecystectomy, with 1124 BDIs (0.3%). On multivariate logistic regression analysis, Asian race/ethnicity was a significant risk factor for BDI (odds ratio [OR], 2.26; 95% confidence interval [CI], 1.59-3.23; P<.001). This persisted for laparoscopic (OR, 2.62; 95% CI, 1.28-5.39; P=.009) and open (2.21; 1.59-3.07; P<.001) cholecystectomies. No other race/ethnicity was identified as a risk factor for BDI. We report a new finding that Asian race/ethnicity is a significant risk factor for BDI in laparoscopic and open cholecystectomies.

Original languageEnglish (US)
Pages (from-to)785-787
Number of pages3
JournalArchives of surgery
Issue number8
StatePublished - Aug 2010

ASJC Scopus subject areas

  • Surgery


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