BACKGROUND: Early reports of higher complication rates, specifically @entity1157 , raised concerns over the safety of laparoscopy over open cholecystectomy. This study aims to ascertain the rate, management, and perioperative outcomes of @entity1157 in an era beyond the laparoscopic learning curve. METHODS: The New York State (NYS) Planning and Research Cooperative System longitudinal administrative database was used to identify @entity1 . From 2005 to 2010, 156,315 @entity1 were identified who had undergone laparoscopic cholecystectomy for symptomatic @entity2963 or acute or chronic @entity2679 . @entity1 were then tracked with unique identifiers for common @entity1157 . Common @entity1157 was identified by ICD-9 and CPT diagnosis and procedure codes for @entity1 who subsequently underwent hepatectomy, hepaticojejunostomy, or other bile duct surgery. RESULTS: From 2005 to 2010, 156,958 @entity1 were identified who had undergone laparoscopic cholecystectomy for symptomatic @entity2963 or acute or chronic @entity2679 . Of the total @entity1 , 149 @entity1 underwent a biliary duct procedure within a year. Twenty-four of them were diagnosed with @entity1086 and excluded, leaving 125 for further analysis. The @entity130 were identified at a rate of 0.080  %. Thirty-one of those @entity1 (24.8  %) underwent hepatectomy, 40 @entity1 (32.0  %) underwent hepaticoenterostomy, and 54 @entity1 (43.2  %) underwent primary repair of the bile duct. Thirty-two (26  %) @entity1 were repaired on the same day of their initial procedure. Of the remaining 93 @entity1 , 38 (30  %) were repaired within 10  days, seven (6  %) repaired between 11 and 20  days, and 48 (38  %) @entity1 over 21  days from injury. CONCLUSION: In NYS, the rate of @entity1157 has now decreased to 0.08  % and mirrors the historical figures quoted for open cholecystectomy. This improvement likely reflects increased experience, improved instrumentation, and movement beyond the "learning curve."

Beyond the learning curve: incidence of XXXX following laparoscopic cholecystectomy normalize to open in the modern era.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1157 :: ('MESH:D001649', 'Disease') :: ['bile duct injury', 'bile duct injuries'] @entity2963 :: ('MESH:D002769', 'Disease') :: ['cholelithiasis'] @entity2679 :: ('MESH:D002764', 'Disease') :: ['cholecystitis'] @entity1086 :: ('MESH:D005706', 'Disease') :: ['gallbladder cancer'] @entity130 :: ('MESH:D014947', 'Disease') :: ['biliary injuries']
@entity1157 :: (MESH:D001649,Disease) :: ['bile duct injuries']
