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

被引：125

作者：

De'Angelis, Nicola ^{[1
,2
,3
]}

Catena, Fausto ^{[4
]}

Memeo, Riccardo ^{[5
]}

Coccolini, Federico ^{[6
]}

Martinez-Perez, Aleix ^{[7
]}

Romeo, Oreste M. ^{[8
]}

De Simone, Belinda ^{[9
]}

Di Saverio, Salomone ^{[10
]}

Brustia, Raffaele ^{[2
,3
]}

Rhaiem, Rami ^{[11
]}

Piardi, Tullio ^{[11
,12
]}

Conticchio, Maria ^{[5
]}

Marchegiani, Francesco ^{[13
]}

Beghdadi, Nassiba ^{[2
,3
]}

Abu-Zidan, Fikri M. ^{[14
]}

Alikhanov, Ruslan ^{[15
]}

Allard, Marc-Antoine ^{[16
]}

Allievi, Niccolo ^{[17
]}

Amaddeo, Giuliana ^{[3
,18
]}

Ansaloni, Luca ^{[19
]}

Andersson, Roland ^{[20
]}

Andolfi, Enrico ^{[21
]}

Azfar, Mohammad ^{[22
]}

Bala, Miklosh ^{[23
]}

Benkabbou, Amine ^{[24
]}

Ben-Ishay, Offir ^{[25
]}

Bianchi, Giorgio ^{[1
]}

Biffl, Walter L. ^{[26
]}

Brunetti, Francesco ^{[2
,3
]}

Carra, Maria Clotilde ^{[27
,28
]}

Casanova, Daniel ^{[29
]}

Celentano, Valerio ^{[30
]}

Ceresoli, Marco ^{[31
]}

Chiara, Osvaldo ^{[32
]}

Cimbanassi, Stefania ^{[32
]}

Bini, Roberto ^{[32
]}

Coimbra, Raul ^{[33
,34
]}

Luigi de'Angelis, Gianm ^{[35
]}

Decembrino, Francesco ^{[36
]}

De Palma, Andrea ^{[6
]}

de Reuver, Philip R. ^{[37
]}

Domingo, Carlos ^{[7
]}

Cotsoglou, Christian ^{[38
]}

Ferrero, Alessandro ^{[39
]}

Fraga, Gustavo P. ^{[40
]}

Gaiani, Federica ^{[35
]}

Gheza, Federico ^{[41
]}

Gurrado, Angela ^{[42
]}

Harrison, Ewen ^{[43
,44
]}

Henriquez, Angel ^{[45
]}

机构：

[1] Gen Reg Hosp F Miulli, Unit Minimally Invas & Robot Digest Surg, Str Prov 127 Acquav Santeramo Km 4, I-70021 Bari, Italy

[2] Univ Paris Est, Henri Mondor Univ Hosp, Unit Digest Hepatobiliary & Pancreat Surg, CARE Dept,AP HP,UPEC, Creteil, France

[3] Univ Paris Est, Fac Med, UPEC, Creteil, France

[4] Univ Hosp Parma, Dept Emergency & Trauma Surg, Parma, Italy

[5] Gen Reg Hosp F Miulli, Dept Hepatopancreat Biliary Surg, Bari, Italy

[6] Pisa Univ Hosp, Gen Emergency & Trauma Dept, Pisa, Italy

[7] Hosp Univ Doctor Peset, Dept Gen & Digest Surg, Valencia, Spain

[8] Bronson Methodist Hosp, Trauma Burn & Surg Care Program, Kalamazoo, MI USA

[9] Ctr Hosp Poissy St Germain en Laye, Serv Chirurg Gen Digest & Metabol, St Germain En Laye, France

[10] Cambridge Univ Hosp, Dept Surg, NHS Fdn Trust, Cambridge, England

[11] Robert Debre Univ Hosp, Dept HBP & Digest Oncol Surg, Reims, France

[12] Troyes Hosp, HPB Unit, Dept Surg, Troyes, France

[13] Univ Padua, Dept Surg Oncol & Gastroenterol Sci, Padua, Italy

[14] UAE Univ, Coll Med & Hlth Sci, Dept Surg, Al Ain, U Arab Emirates

[15] Moscow Clin Sci Ctr, Dept Hepatopancreato Biliary Surg, Shosse Enthusiastov 86, Moscow 111123, Russia

[16] Hop Paul Brousse, Ctr Hepatobiliaire, Villejuif, France

[17] Papa Giovanni Hosp XXIII, Dept Emergency, Surg Unit 1, Bergamo, Italy

[18] Henri Mondor Univ Hosp, AP HP, Serv Hepatol, Creteil, France

[19] San Matteo Univ Hosp, Gen Surg, Pavia, Italy

[20] Linkonping Univ, Dept Surg, Linkoping, Sweden

[21] San Donato Hosp, Div Gen Surg, Dept Surg, I-52100 Arezzo, Italy

[22] Al Rahba Hosp, Dept Surg, Abu Dhabi, U Arab Emirates

[23] Hadassah Hebrew Univ, Trauma & Acute Care Surg Unit, Med Ctr, Jerusalem, Israel

[24] Mohammed V Univ Rabat, Natl Inst Oncol, Surg Oncol Dept, Rabat, Morocco

[25] Rambam Healthcare Campus, Dept Gen Surg, Haifa, Israel

[26] Scripps Mem Hosp La Jolla, Div Trauma & Acute Care Surg, La Jolla, CA USA

[27] Rothschild Hosp, AP HP, Paris, France

[28] Univ Paris, Paris, France

[29] Univ Cantabria, Hosp Univ Marques Valdecilla, Santander, Spain

[30] Chelsea & Westminster Hosp, NHS Fdn Trust, Colorectal Unit, London, England

[31] Univ Milano Bicocca, Emergency & Gen Surg Dept, Milan, Italy

[32] Univ Milan, Gen Surg & Trauma Team, ASST Niguarda Milano, Milan, Italy

[33] Riverside Univ, Hlth Syst Med Ctr, Comparat Effectiveness & Clin Outcomes Res Ctr CE, Loma Linda, CA USA

[34] Loma Linda Univ, Sch Med, Loma Linda, CA USA

[35] Univ Parma, Dept Med & Surg, Gastroenterol & Endoscopy Unit, Parma, Italy

[36] Gen Reg Hosp F Miulli, Gastroenterol & Endoscopy Unit, Bari, Italy

[37] Radboud Univ Nijmegen, Dept Surg, Med Ctr Nijmegen, Nijmegen, Netherlands

[38] ASST Vimercat, Gen Surg Dept, I-20871 Vimercate, Italy

[39] Azienda Osped Ordine Mauriziano Umberto I, Dept Gen & Oncol Surg, Turin, Italy

[40] Univ Campinas Unicamp, Sch Med Sci, Dept Surg, Div Trauma Surg, Campinas, SP, Brazil

[41] Univ Brescia, Dept Clin & Expt Sci, Brescia, Italy

[42] Univ Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Unit Gen Surg V Bonomo, Bari, Italy

[43] Univ Edinburgh, Dept Clin Surg, Edinburgh, Midlothian, Scotland

[44] Univ Edinburgh, Ctr Med Informat, Usher Inst, Edinburgh, Midlothian, Scotland

[45] Ctr Medico Laparoscop, San Salvador, El Salvador

[46] Univ Stellenbosch, Tygerberg Acad Hosp, Surg Gastroenterol Unit, Div Surg,Fac Med & Hlth Sci, Stellenbosch, South Africa

[47] Tel Aviv Univ, Sackler Sch Med, Dept Surg, Tel Aviv, Israel

[48] Foothills Med Ctr, Dept Surg, Crit Care Med & Reg Trauma Serv, Calgari, AB, Canada

[49] Univ Barcelona, Hosp Clin, Dept HPB & Transplant Surg, Barcelona, Spain

[50] Ctr Hosp Univ Montreal, Dept Surg, Dept HBP Surg & Liver Transplantat, Montreal, PQ, Canada

来源：

WORLD JOURNAL OF EMERGENCY SURGERY | 2021年 / 16卷 / 01期

关键词：

Laparoscopic cholecystectomy; Biliary duct injury; Magnetic resonance imaging; Antibiotic therapy; Computed tomography; Guidelines; GD-EOB-DTPA; ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY; POSTCHOLECYSTECTOMY BILIARY LEAKS; ENHANCED MR CHOLANGIOGRAPHY; HEPATIC-ARTERY INJURY; LONG-TERM OUTCOMES; QUALITY-OF-LIFE; ACUTE CHOLECYSTITIS; RISK-FACTORS; INTRAOPERATIVE CHOLANGIOGRAPHY;

D O I：

10.1186/s13017-021-00369-w

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页数：27

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