SELSI Consensus Statement for Safe Cholecystectomy-Prevention and Management of Bile Duct Injury-Part B

被引:7
作者
Bansal, Virinder Kumar [1 ]
Misra, Mahesh C. [1 ]
Agarwal, Anil K. [2 ]
Agrawal, J. B. [3 ]
Agarwal, P. N. [4 ]
Aggarwal, Sandeep [1 ]
Aslam, Mohammad [5 ]
Krishna, Asuri [1 ]
Baksi, Aditya [1 ]
Behari, Anu [6 ]
Bhattacharjee, Hemanga K. [1 ]
Bhojwani, Rajesh [7 ]
Chander, Jagdish [4 ]
Chattopadhyay, T. K. [8 ]
Chintamani [9 ,10 ]
Chowbey, Pradeep [11 ]
Dalvi, Abhay [12 ,13 ]
Dash, N. R. [8 ]
Dhawan, I. K. [1 ]
Gamangatti, Shivanand [14 ]
Garg, P. K. [15 ]
Gupta, N. M. [16 ]
Gupta, Rajesh [16 ]
Gupta, S. K.
Gupta, Vikas [16 ]
Kaman, L. [16 ]
Kapur, B. M. L. [1 ]
Kataria, Kamal [1 ]
Khan, Muneer [17 ]
Khanna, Ajay K. [18 ]
Khullar, Rajesh [11 ]
Kumar, Anand [18 ]
Kumar, Atin [14 ]
Kumar, Sandeep
Kumar, Subodh [1 ]
Lal, Pawanindra [4 ]
Maurya, S. D. [19 ]
Moirangthem, G. S. [20 ]
Pal, Sujoy [8 ]
Panwar, Rajesh [8 ]
Parshad, Rajinder [1 ]
Pottakkat, Biju [21 ]
Prajapati, Om Prakash [1 ]
Puntambekar, Shailesh [22 ]
Ranjan, Piyush [1 ]
Rathore, Yashwant Singh [1 ]
Sahni, Peush [8 ]
Sarangi, Rathindra [23 ]
Seenu, Vuthaluru [1 ]
Sharma, Rajeev [24 ]
机构
[1] All India Inst Med Sci, Dept Surg Disciplines, New Delhi, India
[2] GB Pant Inst Post Grad Med Educ & Res, Dept Surg Gastroenterol, New Delhi, India
[3] Agrawal Inst Laparoscop Surg, Mumbai, Maharashtra, India
[4] Maulana Azad Med Coll, Dept Surg, New Delhi, India
[5] Aligarh Muslim Univ, Dept Surg, Aligarh, Uttar Pradesh, India
[6] Sanjay Gandhi Post Grad Inst Med Sci, Dept Surg Gastroenterol, Lucknow, Uttar Pradesh, India
[7] Santokba Durlabhji Mem Hosp, Jaipur, Rajasthan, India
[8] All India Inst Med Sci, Dept Gastrointestinal Surg, New Delhi, India
[9] Vardhman Mahavir Med Coll, Dept Surg, New Delhi, India
[10] Safdarjang Hosp, New Delhi, India
[11] Max Superspecial Hosp, New Delhi, India
[12] King Edward Mem Hosp, Bombay, Maharashtra, India
[13] Seth GS Med Coll, Dept Surg, Mumbai, Maharashtra, India
[14] All India Inst Med Sci, Dept Radiol, New Delhi, India
[15] All India Inst Med Sci, Dept Gastroenterol, New Delhi, India
[16] Post Grad Inst Med Educ & Res, Dept Surg, Chandigarh, India
[17] Govt Med Coll, Dept Surg, Srinagar, India
[18] Banaras Hindu Univ, Inst Med Sci, Dept Surg, Varanasi, Uttar Pradesh, India
[19] Sachkhand Hosp, Agra, Uttar Pradesh, India
[20] Reg Inst Med Sci, Dept Surg, Imphal, Manipur, India
[21] Jawaharlal Inst Postgrad Med Educ & Res, Dept Surg Gastroenterol, Pondicherry, India
[22] Galaxy Care Laparoscopy Inst, Pune, Maharashtra, India
[23] Sir Ganga Ram Hosp, New Delhi, India
[24] Govt Med Coll, Dept Surg, Chandigarh, India
[25] Govt Med Coll, Dept Surg, Patiala, Punjab, India
[26] Dayanand Med Coll Hosp, Dept Surg, Ludhiana, Punjab, India
[27] Maharani Laxmibai Med Coll, Dept Surg, Jhansi, Uttar Pradesh, India
[28] Sakra World Hosp, Bangalore, Karnataka, India
[29] Dr Ram Manohar Lohia Hosp, Dept Surg, New Delhi, India
[30] Lady Hardinge Med Coll & Hosp, Dept Surg, New Delhi, India
关键词
Laparoscopic cholecystectomy; Bile duct injury; Guidelines for safe cholecystectomy; Prevention; ROUTINE INTRAOPERATIVE CHOLANGIOGRAPHY; LAPAROSCOPIC CHOLECYSTECTOMY; FLUORESCENT CHOLANGIOGRAPHY; SPILLED GALLSTONES; COMPLICATIONS; REPAIR; ULTRASONOGRAPHY; GALLBLADDER; RISK;
D O I
10.1007/s12262-019-01994-1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Cholecystectomy is one of the commonest general surgical procedures performed all over India. The risk of bile duct injury (BDI) during laparoscopic cholecystectomy is two to three times higher than during open cholecystectomy. The worldwide incidence of bile duct injury is 0.5% or 1 in 200 cases. BDI and its consequences result in significant morbidity and may even cause mortality. BDI increases the cost of treatment and is a common reason for a medicolegal suit against the surgeons. To minimize the incidence of BDI and to manage it timely and appropriately, a set of guidelines was deemed necessary by a group of senior surgeons during a Society of Endoscopic and Laparoscopic Surgeons of India (SELSI) meeting in 2016. Guidelines for "Safe Laparoscopic Cholecystectomy" and bile duct injury management formulated by other international societies are already available. The applicability of these guidelines to Indian subjects especially in small peripheral centers was limited. Hence, a decision was taken to form a set of guidelines for general surgeons with basic laparoscopic skills with little or no advanced laparoscopic skills. Those working in a solo practice, nursing homes, and small private hospitals at talukas or districts should have "Safe Cholecystectomy" guidelines and management of BDI suitable to their situation. These guidelines were formed after three consensus meetings and have been approved by a SELSI Expert Group.
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页码:611 / 624
页数:14
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