Bile leakage after loop closure clip closure of the cystic duct during laparoscopic cholecystectomy: A retrospective analysis of a prospective cohort.

Background: Laparoscopic cholecystectomy (LC) is one of the most frequently performed surgical procedures. Cystic stump leakage is an underestimated, potentially life threatening complication that occurs in 1%-6% of the patients. With a secure cystic duct occlusion technique during LC, bile leakage becomes a preventable complication.

[Falling from a height: Psychiatric comorbidity and complications].

Objective: To investigate whether a mental disorder increases the occurrence of complications in patients after 'a fall from a height'.

Design: Retrospective descriptive study.

Methods: Data on all patients admitted following a 'fall from a height' in the period 2004-2012 was retrieved from the trauma registry of the Academic Medical Center (AMC) in Amsterdam, the Netherlands.

Surgeon's volume is not associated with complication outcome after laparoscopic cholecystectomy.

Aim: Complication rates after laparoscopic cholecystectomy vary but are still reported to be up to 17 %. Identifying risk factors for an adverse complication outcome could help to reduce morbidity after laparoscopic cholecystectomy. Our aim was to analyze whether surgeon volume is a vital issue for complication outcome.