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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
Show Affiliations
Authors Affiliations
  1. 1. Unit of Minimally Invasive and Robotic Digestive Surgery, General Regional Hospital “F. Miulli”, Strada Prov. 127 Acquaviva – Santeramo Km. 4, 70021 Acquaviva delle Fonti BA, Bari, Italy
  2. 2. Unit of Digestive, Hepatobiliary and Pancreatic Surgery, CARE Department, Henri Mondor University Hospital (AP-HP), and Faculty of Medicine, University of Paris Est, UPEC, Creteil, France
  3. 3. Department of Emergency and Trauma Surgery of the University Hospital of Parma, Parma, Italy
  4. 4. Department of Hepato-Pancreatic-Biliary Surgery, General Regional Hospital “F. Miulli”, Acquaviva delle Fonti, Bari, Italy
  5. 5. General, Emergency and Trauma Department, Pisa University Hospital, Pisa, Italy
  6. 6. Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain
  7. 7. Trauma, Burn, and Surgical Care Program, Bronson Methodist Hospital, Kalamazoo, MI, United States
  8. 8. Service de Chirurgie Generale, Digestive, et Metabolique, Centre hospitalier de Poissy/Saint Germain en Laye, Saint Germain en Laye, France
  9. 9. Department of Surgery, Cambridge University Hospital, NHS Foundation Trust, Cambridge, United Kingdom
  10. 10. Department of HBP and Digestive Oncologic Surgery, Robert Debre University Hospital, Reims, France
  11. 11. Department of Surgery, HPB Unit, Troyes Hospital, Troyes, France
  12. 12. Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Padua, Italy
  13. 13. Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates
  14. 14. Department of Hepato-Pancreato-Biliary Surgery, Moscow Clinical Scientific Center, Shosse Enthusiastov, 86, Moscow, 111123, Russian Federation
  15. 15. Centre Hepatobiliaire, Paul Brousse Hospital, Villejuif, France
  16. 16. 1st Surgical Unit, Department of Emergency, Papa Giovanni Hospital XXIII, Bergamo, Italy
  17. 17. Service d’Hepatologie, APHP, Henri Mondor University Hospital, Creteil, and Faculty of Medicine, University of Paris Est, UPEC, Creteil, France
  18. 18. General Surgery, San Matteo University Hospital, Pavia, Italy
  19. 19. Department of Surgery, Linkonping University, Linkoping, Sweden
  20. 20. Department of Surgery, Division of General Surgery, San Donato Hospital, Arezzo, 52100, Italy
  21. 21. Department of Surgery, Al Rahba Hospital, Abu Dhabi, United Arab Emirates
  22. 22. Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel
  23. 23. Surgical Oncology Department, National Institute of Oncology, Mohammed V University in Rabat, Rabat, Morocco
  24. 24. Department of General Surgery, Rambam Healthcare Campus, Haifa, Israel
  25. 25. Division of Trauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, United States
  26. 26. Rothschild Hospital, AP-HP, Paris, and Universite de Paris, Paris, France
  27. 27. Hospital Universitario Marques de Valdecilla, University of Cantabria, Santander, Spain
  28. 28. Colorectal Unit, Chelsea and Westminster Hospital, NHS Foundation Trust, London, United Kingdom
  29. 29. Emergency and General Surgery Department, University of Milan Bicocca, Milan, Italy
  30. 30. General Surgery and Trauma Team, ASST Niguarda Milano, University of Milano, Milan, Italy
  31. 31. Riverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center – CECORC and Loma Linda University School of Medicine, Loma Linda, United States
  32. 32. Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  33. 33. Gastroenterology and Endoscopy Unit, General Regional Hospital “F. Miulli”, Acquaviva delle Fonti, Bari, Italy
  34. 34. Department of Surgery, Radboud University Medical Centre Nijmegen, Nijmegen, Netherlands
  35. 35. General Surgery Department, ASST-Vimercat, Vimercate, 20871, Italy
  36. 36. Department of General and Oncological Surgery, Azienda Ospedaliera Ordine Mauriziano “Umberto I”, Turin, Italy
  37. 37. Division of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas (Unicamp), Campinas, SP, Brazil
  38. 38. Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
  39. 39. Unit of General Surgery “V. Bonomo”, Department of Biomedical Sciences and Human Oncology, University of Bari “Aldo Moro”, Bari, Italy
  40. 40. Department of Clinical Surgery and Centre for Medical Informatics, Usher Institute, University of Edinburgh, Little France Crescent, Edinburgh, United Kingdom
  41. 41. Centro Medico Laparoscopic, San Salvador, El Salvador
  42. 42. Division of Surgery, Surgical Gastroenterology Unit, Tygerberg Academic Hospital, University of Stellenbosch Faculty of Medicine and Health Sciences, Stellenbosch, South Africa
  43. 43. Department of Surgery, Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel
  44. 44. Department of Surgery, Critical Care Medicine and the Regional Trauma Service, Foothills Medical Center, Calgari, AB, Canada
  45. 45. Department of HPB and Transplant Surgery, Hospital Clinic, Universidad de Barcelona, Barcelona, Spain
  46. 46. Department of HBP Surgery and Liver Transplantation, Department of Surgery, Centre Hospitalier de l’Universite de Montreal, Montreal, QC, Canada
  47. 47. Department of Digestive Surgery, University Hospital of Saint-Etienne, Saint-Priest-en-Jarez, France
  48. 48. Unit of Radiology, Henri Mondor University Hospital (AP-HP), Creteil, and Faculty of Medicine, University of Paris Est, UPEC, Creteil, France
  49. 49. Department of Emergency Surgery, Hospital de Clinicas, School of Medicine UDELAR, Montevideo, Uruguay
  50. 50. General Surgery and Liver Transplantation Unit, Fondazione IRCCS Ca’Granda, Ospedale Maggiore Policlinico di Milano, Milan, Italy
  51. 51. Department of Surgery, University of Washington, Seattle, WA, United States
  52. 52. Department of Surgery and Obstetrics/Gynecologic, Regional Hospital, Limbe, Cameroon
  53. 53. Department of General Surgery, Toyohashi Municipal Hospital, Toyohashi, Aichi, Japan
  54. 54. Division of Trauma and Acute Care Surgery, Department of Surgery, Fundacion Valle del Lili, Universidad del Valle Cali, Cali, Colombia
  55. 55. Unit of Gastroenterology and Endoscopy, Maggiore Hospital, Bologna, Italy
  56. 56. Department of Surgery, UPMC, University of Pittsburg, School of Medicine, Pittsburg, United States
  57. 57. General Surgery, Liver Transplant Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
  58. 58. Liver Transplant Unit, APHP, Unite de Chirurgie Hepatobiliaire et Transplantation hepatique, Hopital Pitie Salpetriere, Paris, France
  59. 59. Hepatobiliary and Pancreatic Surgical Unit, Visceral and Digestive Surgery, IHU mix-surg, Institute for Minimally Invasive Image-Guided Surgery, University of Strasbourg, Strasbourg, France
  60. 60. Trauma & Acute Care Surgery – Global Health, University of Pittsburgh, Pittsburgh, United States
  61. 61. Trauma and Acute Care Service, St Michael’s Hospital, Toronto, ON, Canada
  62. 62. Chirurgia Epato-Gastro-Pancreatica, Azienda Ospedaliera-Universitaria Maggiore della Carita, Novara, Italy
  63. 63. General Surgery Department, Medical University, University Hospital St George, Plovdiv, Bulgaria
  64. 64. Department of Surgery, Isfahan University of Medical Sciences, Isfahan, Iran
  65. 65. Instituto de Investigacion Sanitaria Aragon, Department of Surgery, Hospital Universitario Miguel Servet, Zaragoza, Spain
  66. 66. Digestive Surgery Unit, Centre Hospitalier Universitaire de Guadeloupe, Pointe-A-Pitre, Les Avymes, Guadeloupe, France
  67. 67. Service de Chirurgie, Hopital National Blaise Compaore de Ouagadougou, Ouagadougou, Burkina Faso
  68. 68. Department of Gastroenterology and Digestive Endoscopy, Henri Mondor Hospital, AP-HP, Creteil, and Faculty of Medicine, University of Paris Est, UPEC, Creteil, France
  69. 69. Department of Surgery “F”, Faculty of Medicine, Clinic Hospital “Dr. Manuel Quintela”, Montevideo, Uruguay
  70. 70. Veterans Fund Army Hospital, Athens, Greece
  71. 71. Division of Transplantation, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
  72. 72. Department of Trauma Surgery, Royal Perth Hospital, Perth, Australia
  73. 73. Department of Surgery, Colorectal Surgery Unit, University of Cagliari, Cagliari, Italy
  74. 74. Hepatobiliary Surgery Unit, Foundation “Policlinico Universitario A. Gemelli”, IRCCS, Rome, Italy
  75. 75. Division of Gastrointestinal and HBP Surgery, Imperial College HealthCare, NHS Trust, Hammersmith Hospital, London, United Kingdom
  76. 76. Institut Mutualiste Montsouris, Paris, France

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).