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2020 Wses Guidelines for the Detection and Management of Bile Duct Injury During Cholecystectomy Publisher Pubmed



Deangelis N1, 2 ; Catena F3 ; Memeo R4 ; Coccolini F5 ; Martinezperez A6 ; Romeo OM7 ; De Simone B8 ; Di Saverio S9 ; Brustia R2 ; Rhaiem R10 ; Piardi T10, 11 ; Conticchio M4 ; Marchegiani F12 ; Beghdadi N2 Show All Authors
Authors
  1. Deangelis N1, 2
  2. Catena F3
  3. Memeo R4
  4. Coccolini F5
  5. Martinezperez A6
  6. Romeo OM7
  7. De Simone B8
  8. Di Saverio S9
  9. Brustia R2
  10. Rhaiem R10
  11. Piardi T10, 11
  12. Conticchio M4
  13. Marchegiani F12
  14. Beghdadi N2
  15. Abuzidan FM13
  16. Alikhanov R14
  17. Allard MA15
  18. Allievi N16
  19. Amaddeo G17
  20. Ansaloni L18
  21. Andersson R19
  22. Andolfi E20
  23. Azfar M21
  24. Bala M22
  25. Benkabbou A23
  26. Benishay O24
  27. Bianchi G1
  28. Biffl WL25
  29. Brunetti F2
  30. Carra MC26
  31. Casanova D27
  32. Celentano V28
  33. Ceresoli M29
  34. Chiara O30
  35. Cimbanassi S30
  36. Bini R30
  37. Coimbra R31
  38. Luigi Deangelis G32
  39. Decembrino F33
  40. De Palma A5
  41. De Reuver PR34
  42. Domingo C6
  43. Cotsoglou C35
  44. Ferrero A36
  45. Fraga GP37
  46. Gaiani F32
  47. Gheza F38
  48. Gurrado A39
  49. Harrison E40
  50. Henriquez A41
  51. Hofmeyr S42
  52. Iadarola R3
  53. Kashuk JL43
  54. Kianmanesh R10
  55. Kirkpatrick AW44
  56. Kluger Y24
  57. Landi F45
  58. Langella S36
  59. Lapointe R46
  60. Le Roy B47
  61. Luciani A48
  62. Machado F49
  63. Maggi U50
  64. Maier RV51
  65. Mefire AC52
  66. Hiramatsu K53
  67. Ordonez C54
  68. Patrizi F55
  69. Planells M6
  70. Peitzman AB56
  71. Pekolj J57
  72. Perdigao F58
  73. Pereira BM37
  74. Pessaux P59
  75. Pisano M16
  76. Puyana JC60
  77. Rizoli S61
  78. Portigliotti L62
  79. Romito R62
  80. Sakakushev B63
  81. Sanei B64
  82. Scatton O58
  83. Serradillamartin M65
  84. Schneck AS66
  85. Sissoko ML67
  86. Sobhani I68
  87. Ten Broek RP34
  88. Testini M39
  89. Valinas R69
  90. Veloudis G70
  91. Vitali GC71
  92. Weber D72
  93. Zorcolo L73
  94. Giuliante F74
  95. Gavriilidis P75
  96. Fuks D76
  97. Sommacale D2

Source: World Journal of Emergency Surgery Published:2021


Abstract

Bile duct injury (BDI) is a dangerous complication of cholecystectomy, with significant postoperative sequelae for the patient in terms of morbidity, mortality, and long-term quality of life. BDIs have an estimated incidence of 0.4–1.5%, but considering the number of cholecystectomies performed worldwide, mostly by laparoscopy, surgeons must be prepared to manage this surgical challenge. Most BDIs are recognized either during the procedure or in the immediate postoperative period. However, some BDIs may be discovered later during the postoperative period, and this may translate to delayed or inappropriate treatments. Providing a specific diagnosis and a precise description of the BDI will expedite the decision-making process and increase the chance of treatment success. Subsequently, the choice and timing of the appropriate reconstructive strategy have a critical role in long-term prognosis. Currently, a wide spectrum of multidisciplinary interventions with different degrees of invasiveness is indicated for BDI management. These World Society of Emergency Surgery (WSES) guidelines have been produced following an exhaustive review of the current literature and an international expert panel discussion with the aim of providing evidence-based recommendations to facilitate and standardize the detection and management of BDIs during cholecystectomy. In particular, the 2020 WSES guidelines cover the following key aspects: (1) strategies to minimize the risk of BDI during cholecystectomy; (2) BDI rates in general surgery units and review of surgical practice; (3) how to classify, stage, and report BDI once detected; (4) how to manage an intraoperatively detected BDI; (5) indications for antibiotic treatment; (6) indications for clinical, biochemical, and imaging investigations for suspected BDI; and (7) how to manage a postoperatively detected BDI. © 2021, The Author(s).