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

World Journal of Emergency Surgery

Niccolò Allievi¹  Michele Pisano¹  Marc-Antoine Allard²  Angel Henriquez³  Luca Portigliotti⁴  Raffaele Romito⁴  Valerio Celentano⁵  Ewen Harrison⁶  Federico Gheza⁷  Bertrand Le Roy⁸  Fernando Machado⁹  Fausto Catena^1,10  Roberta Iadarola^1,10  Iradj Sobhani^1,11  Offir Ben-Ishay^1,12  Yoram Kluger^1,12  Kazuhiro Hiramatsu^1,13  Aleix Martínez-Pérez^1,14  Carlos Domingo^1,14  Manuel Planells^1,14  Serena Langella^1,15  Alessandro Ferrero^1,15  Real Lapointe^1,16  Tullio Piardi^1,17  Reza Kianmanesh^1,17  Rami Rhaiem^1,17  Filippo Landi^1,18  Maria Conticchio^1,19  Riccardo Memeo^1,19  Ruslan Alikhanov^2,20  Alain Chichom Mefire^2,21  Roberto Valinas^2,22  Mohammad Azfar^2,23  Salomone Di Saverio^2,24  Fikri M. Abu-Zidan^2,25  Luigi Zorcolo^2,26  Andrew W. Kirkpatrick^2,27  Enrico Andolfi^2,28  Behnam Sanei^2,29  Roland Andersson^3,30  Richard P. ten Broek^3,31  Philip R. de Reuver^3,31  Jeffry L. Kashuk^3,32  Andrew B. Peitzman^3,33  Ronald V. Maier^3,34  Francesco Marchegiani^3,35  Dieter Weber^3,36  Anne-Sophie Schneck^3,37  Paschalis Gavriilidis^3,38  Stefan Hofmeyr^3,39  Giulio Cesare Vitali^4,40  Bruno M. Pereira^4,41  Gustavo P. Fraga^4,41  Carlos Ordoñez^4,42  Walter L. Biffl^4,43  Marco Ceresoli^4,44  Federica Gaiani^4,45  Gian Luigi de’Angelis^4,45  Francesco Decembrino^4,46  Christian Cotsoglou^4,47  Boris Sakakushev^4,48  Umberto Maggi^4,49  Osvaldo Chiara^5,50  Stefania Cimbanassi^5,50  Roberto Bini^5,50  Juan Pekolj^5,51  Luca Ansaloni^5,52  Andrea De Palma^5,53  Federico Coccolini^5,53  Felice Giuliante^5,54  Patrick Pessaux^5,55  Daniel Casanova^5,56  David Fuks^5,57  Mario Serradilla-Martin^5,58  Olivier Scatton^5,59  Fabiano Perdigao^5,59  Raul Coimbra^6,60  Maria Clotilde Carra^6,61  Belinda De Simone^6,62  Mohammed Lamine Sissoko^6,63  Giuliana Amaddeo^6,64  Amine Benkabbou^6,65  Juan Carlos Puyana^6,66  Sandro Rizoli^6,67  Miklosh Bala^6,68  Oreste M. Romeo^6,69  Francesco Brunetti^7,70  Nassiba Beghdadi^7,70  Raffaele Brustia^7,70  Daniele Sommacale^7,70  Franca Patrizi^7,71  Mario Testini^7,72  Angela Gurrado^7,72  Giorgio Bianchi^7,73  Nicola de’Angelis^7,73  Alain Luciani^7,74  Giorgos Veloudis^7,75 

[1] 1st Surgical Unit, Department of Emergency, Papa Giovanni Hospital XXIII;Centre Hepatobiliaire, Paul Brousse Hospital;Centro Médico Laparoscópic;Chirurgia Epato-Gastro-Pancreatica, Azienda Ospedaliera-Universitaria Maggiore della Carità;Colorectal Unit, Chelsea and Westminster Hospital, NHS Foundation Trust;Department of Clinical Surgery and Centre for Medical Informatics, Usher Institute, University of Edinburgh;Department of Clinical and Experimental Sciences, University of Brescia;Department of Digestive Surgery, University Hospital of Saint-Etienne;Department of Emergency Surgery, Hospital de Clínicas, School of Medicine UDELAR;Department of Emergency and Trauma Surgery of the University Hospital of Parma;Department of Gastroenterology and Digestive Endoscopy, Henri Mondor Hospital, AP-HP, Creteil, and Faculty of Medicine, University of Paris Est, UPEC;Department of General Surgery, Rambam Healthcare Campus;Department of General Surgery, Toyohashi Municipal Hospital;Department of General and Digestive Surgery, Hospital Universitario Doctor Peset;Department of General and Oncological Surgery, Azienda Ospedaliera Ordine Mauriziano “Umberto I”;Department of HBP Surgery and Liver Transplantation, Department of Surgery, Centre Hospitalier de l’Université de Montreal;Department of HBP and Digestive Oncologic Surgery, Robert Debré University Hospital;Department of HPB and Transplant Surgery, Hospital Clínic, Universidad de Barcelona;Department of Hepato-Pancreatic-Biliary Surgery, General Regional Hospital “F. Miulli”;Department of Hepato-Pancreato-Biliary Surgery, Moscow Clinical Scientific Center;Department of Surgery and Obstetrics/Gynecologic, Regional Hospital;Department of Surgery “F”, Faculty of Medicine, Clinic Hospital “Dr. Manuel Quintela”;Department of Surgery, Al Rahba Hospital;Department of Surgery, Cambridge University Hospital, NHS Foundation Trust;Department of Surgery, College of Medicine and Health Sciences, UAE University;Department of Surgery, Colorectal Surgery Unit, University of Cagliari;Department of Surgery, Critical Care Medicine and the Regional Trauma Service, Foothills Medical Center;Department of Surgery, Division of General Surgery, San Donato Hospital;Department of Surgery, Isfahan University of Medical Sciences;Department of Surgery, Linkonping University;Department of Surgery, Radboud University Medical Centre Nijmegen;Department of Surgery, Tel Aviv University, Sackler School of Medicine;Department of Surgery, UPMC, University of Pittsburg, School of Medicine;Department of Surgery, University of Washington;Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua;Department of Trauma Surgery, Royal Perth Hospital;Digestive Surgery Unit, Centre Hospitalier Universitaire de Guadeloupe;Division of Gastrointestinal and HBP Surgery, Imperial College HealthCare, NHS Trust, Hammersmith Hospital;Division of Surgery, Surgical Gastroenterology Unit, Tygerberg Academic Hospital, University of Stellenbosch Faculty of Medicine and Health Sciences;Division of Transplantation, Department of Surgery, Geneva University Hospitals;Division of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas (Unicamp);Division of Trauma and Acute Care Surgery, Department of Surgery, Fundacion Valle del Lili, Universidad del Valle Cali;Division of Trauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla;Emergency and General Surgery Department, University of Milan Bicocca;Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma;Gastroenterology and Endoscopy Unit, General Regional Hospital “F. Miulli”;General Surgery Department, ASST-Vimercat;General Surgery Department, Medical University, University Hospital St George;General Surgery and Liver Transplantation Unit, Fondazione IRCCS Ca’Granda, Ospedale Maggiore Policlinico di Milano;General Surgery and Trauma Team, ASST Niguarda Milano, University of Milano;General Surgery, Liver Transplant Unit, Hospital Italiano de Buenos Aires;General Surgery, San Matteo University Hospital;General, Emergency and Trauma Department, Pisa University Hospital;Hepatobiliary Surgery Unit, Foundation “Policlinico Universitario A. Gemelli”, IRCCS;Hepatobiliary and Pancreatic Surgical Unit, Visceral and Digestive Surgery, IHU mix-surg, Institute for Minimally Invasive Image-Guided Surgery, University of Strasbourg;Hospital Universitario Marqués de Valdecilla, University of Cantabria;Institut Mutualiste Montsouris;Instituto de Investigación Sanitaria Aragón, Department of Surgery, Hospital Universitario Miguel Servet;Liver Transplant Unit, APHP, Unité de Chirurgie Hépatobiliaire et Transplantation hépatique, Hôpital Pitié Salpêtrière;Riverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center – CECORC and Loma Linda University School of Medicine;Rothschild Hospital, AP-HP, Paris, and Université de Paris;Service de Chirurgie Générale, Digestive, et Métabolique, Centre hospitalier de Poissy/Saint Germain en Laye;Service de Chirurgie, Hôpital National Blaise Compaoré de Ouagadougou;Service d’Hepatologie, APHP, Henri Mondor University Hospital, Creteil, and Faculty of Medicine, University of Paris Est, UPEC;Surgical Oncology Department, National Institute of Oncology, Mohammed V University in Rabat;Trauma & Acute Care Surgery – Global Health, University of Pittsburgh;Trauma and Acute Care Service, St Michael’s Hospital;Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center;Trauma, Burn, and Surgical Care Program, Bronson Methodist Hospital;Unit of Digestive, Hepatobiliary and Pancreatic Surgery, CARE Department, Henri Mondor University Hospital (AP-HP), and Faculty of Medicine, University of Paris Est, UPEC;Unit of Gastroenterology and Endoscopy, Maggiore Hospital;Unit of General Surgery “V. Bonomo”, Department of Biomedical Sciences and Human Oncology, University of Bari “Aldo Moro”;Unit of Minimally Invasive and Robotic Digestive Surgery, General Regional Hospital “F. Miulli”;Unit of Radiology, Henri Mondor University Hospital (AP-HP), Creteil, and Faculty of Medicine, University of Paris Est, UPEC;Veterans Fund Army Hospital;

关键词: Laparoscopic cholecystectomy;    Biliary duct injury;    Magnetic resonance imaging;    Antibiotic therapy;    Computed tomography;    Guidelines;   

DOI  :  10.1186/s13017-021-00369-w

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown