2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy

dc.contributor.authorde’Angelis, Nicola
dc.contributor.authorCatena, Fausto
dc.contributor.authorMemeo, Riccardo
dc.contributor.authorCoccolini, Federico
dc.contributor.authorMartínez-Pérez, Aleix
dc.contributor.authorRomeo, Oreste M.
dc.contributor.authorDe Simone, Belinda
dc.contributor.authorDi Saverio, Salomone
dc.contributor.authorBrustia, Raffaele
dc.contributor.authorRhaiem, Rami
dc.contributor.authorPiardi, Tullio
dc.contributor.authorConticchio, Maria
dc.contributor.authorMarchegiani, Francesco
dc.contributor.authorBeghdadi, Nassiba
dc.contributor.authorAbu-Zidan, Fikri M.
dc.contributor.authorAlikhanov, Ruslan
dc.contributor.authorAllard, Marc-Antoine
dc.contributor.authorAllievi, Niccolò
dc.contributor.authorAmaddeo, Giuliana
dc.contributor.authorAnsaloni, Luca
dc.contributor.authorAndersson, Roland
dc.contributor.authorAndolfi, Enrico
dc.contributor.authorAzfar, Mohammad
dc.contributor.authorBala, Miklosh
dc.contributor.authorBenkabbou, Amine
dc.contributor.authorBen-Ishay, Offir
dc.contributor.authorBianchi, Giorgio
dc.contributor.authorBiffl, Walter L.
dc.contributor.authorBrunetti, Francesco
dc.contributor.authorCarra, Maria C.
dc.contributor.authorCasanova, Daniel
dc.contributor.authorCelentano, Valerio
dc.contributor.authorCeresoli, Marco
dc.contributor.authorChiara, Osvaldo
dc.contributor.authorCimbanassi, Stefania
dc.contributor.authorBini, Roberto
dc.contributor.authorCoimbra, Raul
dc.contributor.authorLuigi de’Angelis, Gian
dc.contributor.authorDecembrino, Francesco
dc.contributor.authorDe Palma, Andrea
dc.contributor.authorde Reuver, Philip R.
dc.contributor.authorDomingo, Carlos
dc.contributor.authorCotsoglou, Christian
dc.contributor.authorFerrero, Alessandro
dc.contributor.authorFraga, Gustavo P.
dc.contributor.authorGaiani, Federica
dc.contributor.authorGheza, Federico
dc.contributor.authorGurrado, Angela
dc.contributor.authorHarrison, Ewen
dc.contributor.authorHenriquez, Angel
dc.contributor.authorHofmeyr, Stefan
dc.contributor.authorIadarola, Roberta
dc.contributor.authorKashuk, Jeffry L.
dc.contributor.authorKianmanesh, Reza
dc.contributor.authorKirkpatrick, Andrew W.
dc.contributor.authorKluger, Yoram
dc.contributor.authorLandi, Filippo
dc.contributor.authorLangella, Serena
dc.contributor.authorLapointe, Real
dc.contributor.authorLe Roy, Bertrand
dc.contributor.authorLuciani, Alain
dc.contributor.authorMachado, Fernando
dc.contributor.authorMaggi, Umberto
dc.contributor.authorMaier, Ronald V.
dc.contributor.authorMefire, Alain C.
dc.contributor.authorHiramatsu, Kazuhiro
dc.contributor.authorOrdoñez, Carlos
dc.contributor.authorPatrizi, Franca
dc.contributor.authorPlanells, Manuel
dc.contributor.authorPeitzman, Andrew B.
dc.contributor.authorPekolj, Juan
dc.contributor.authorPerdigao, Fabiano
dc.contributor.authorPereira, Bruno M.
dc.contributor.authorPessaux, Patrick
dc.contributor.authorPisano, Michele
dc.contributor.authorPuyana, Juan C.
dc.contributor.authorRizoli, Sandro
dc.contributor.authorPortigliotti, Luca
dc.contributor.authorRomito, Raffaele
dc.contributor.authorSakakushev, Boris
dc.contributor.authorSanei, Behnam
dc.contributor.authorScatton, Olivier
dc.contributor.authorSerradilla-Martin, Mario
dc.contributor.authorSchneck, Anne-Sophie
dc.contributor.authorSissoko, Mohammed L.
dc.contributor.authorSobhani, Iradj
dc.contributor.authorten Broek, Richard P.
dc.contributor.authorTestini, Mario
dc.contributor.authorValinas, Roberto
dc.contributor.authorVeloudis, Giorgos
dc.contributor.authorVitali, Giulio C.
dc.contributor.authorWeber, Dieter
dc.contributor.authorZorcolo, Luigi
dc.contributor.authorGiuliante, Felice
dc.contributor.authorGavriilidis, Paschalis
dc.contributor.authorFuks, David
dc.contributor.authorSommacale, Daniele
dc.date.accessioned2021-06-13T00:03:32Z
dc.date.available2021-06-13T00:03:32Z
dc.date.issued2021-06-10
dc.date.updated2021-06-13T00:03:32Z
dc.description.abstractAbstract 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.
dc.identifier.citationWorld Journal of Emergency Surgery. 2021 Jun 10;16(1):30
dc.identifier.doihttps://doi.org/10.1186/s13017-021-00369-w
dc.identifier.urihttp://hdl.handle.net/1880/113485
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.title2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy
dc.typeJournal Article
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