@article{de’Angelis2021,

title = {2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy},

author = {Nicola de’Angelis and Fausto Catena and Riccardo Memeo and Federico Coccolini and Aleix Martínez-Pérez and Oreste M. Romeo and Belinda De Simone and Salomone Di Saverio and Raffaele Brustia and Rami Rhaiem and Tullio Piardi and Maria Conticchio and Francesco Marchegiani and Nassiba Beghdadi and Fikri M. Abu-Zidan and Ruslan Alikhanov and Marc-Antoine Allard and Niccolò Allievi and Giuliana Amaddeo and Luca Ansaloni and Roland Andersson and Enrico Andolfi and Mohammad Azfar and Miklosh Bala and Amine Benkabbou and Offir Ben-Ishay and Giorgio Bianchi and Walter L. Biffl and Francesco Brunetti and Maria Clotilde Carra and Daniel Casanova and Valerio Celentano and Marco Ceresoli and Osvaldo Chiara and Stefania Cimbanassi and Roberto Bini and Raul Coimbra and Gian Luigi de’Angelis and Francesco Decembrino and Andrea De Palma and Philip R. Reuver and Carlos Domingo and Christian Cotsoglou and Alessandro Ferrero and Gustavo P. Fraga and Federica Gaiani and Federico Gheza and Angela Gurrado and Ewen Harrison and Angel Henriquez and Stefan Hofmeyr and Roberta Iadarola and Jeffry L. Kashuk and Reza Kianmanesh and Andrew W. Kirkpatrick and Yoram Kluger and Filippo Landi and Serena Langella and Real Lapointe and Bertrand Le Roy and Alain Luciani and Fernando Machado and Umberto Maggi and Ronald V. Maier and Alain Chichom Mefire and Kazuhiro Hiramatsu and Carlos Ordoñez and Franca Patrizi and Manuel Planells and Andrew B. Peitzman and Juan Pekolj and Fabiano Perdigao and Bruno M. Pereira and Patrick Pessaux and Michele Pisano and Juan Carlos Puyana and Sandro Rizoli and Luca Portigliotti and Raffaele Romito and Boris Sakakushev and Behnam Sanei and Olivier Scatton and Mario Serradilla-Martin and Anne-Sophie Schneck and Mohammed Lamine Sissoko and Iradj Sobhani and Richard P. Broek and Mario Testini and Roberto Valinas and Giorgos Veloudis and Giulio Cesare Vitali and Dieter Weber and Luigi Zorcolo and Felice Giuliante and Paschalis Gavriilidis and David Fuks and Daniele Sommacale},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85107716894&doi=10.1186%2fs13017-021-00369-w&partnerID=40&md5=627d6f804b828b49d76b1593be4ef519},

doi = {10.1186/s13017-021-00369-w},

issn = {17497922},

year  = {2021},

date = {2021-01-01},

urldate = {2021-01-01},

journal = {World Journal of Emergency Surgery},

volume = {16},

number = {1},

publisher = {BioMed Central Ltd},

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).},

note = {Cited by: 9; All Open Access, Gold Open Access, Green Open Access},

keywords = {},

pubstate = {published},

tppubtype = {article}

}