Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)
Surgical Endoscopy,  Clinical Article

Eikermann M et al. – Laparoscopic cholecystectomy is one of the most common surgical procedures in Europe (and the world) and has become the standard procedure for the management of symptomatic cholelithiasis or acute cholecystitis in patients without specific contraindications. Bile duct injuries (BDI) are rare but serious complications that can occur during a laparoscopic cholecystectomy. Because BDI is a rare event, it is difficult to generate evidence for prevention, diagnosis, or the management of BDI from clinical studies. Nevertheless, the panel has formulated recommendations. Due to the currently limited evidence, a European registry should be considered to collect and analyze more valid data on BDI upon which recommendations can be based.

Methods

  • A systematic research of the literature was performed.
  • An international expert panel was invited to appraise the current literature and to develop evidence–based recommendations.
  • Statements and recommendations were drafted after a consensus development conference in May 2011, followed by presentation and discussion at the annual congress of the EAES held in Torino in June 2011.
  • Finally, full guidelines were consented and adopted by the expert panel via e–mail and web conference.

Results

  • A total of 1,765 publications were identified through the systematic literature search and additional submission by panellists; 671 publications were selected as potentially relevant.
  • Only 46 publications fulfilled minimal methodological criteria to support Clinical Practice Guidelines recommendations.
  • Because the level of evidence was low for most of the studies, most statements or recommendations had to be based on consensus of opinion among the panel members.
  • A total of 15 statements and recommendations were developed covering the following topics: classification of injuries, epidemiology, prevention, diagnosis, and management of BDI.

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Surgery

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Surgery Articles

1 A novel endoscopic weight loss therapy using gastric aspiration: results after 6 months Endoscopy, October 7, 2014    Clinical Article

2 Abdominoplasty and seroma - A prospective randomised study comparing scalpel and handheld electrocautery dissection Journal of Plastic, Reconstructive & Aesthetic Surgery, October 29, 2014    Clinical Article

3 Four-step medial thighplasty: refined and reproducible Plastic and Reconstructive Surgery, November 6, 2014    Clinical Article

4 Non-invasive fat reduction of the flanks using a new cryolipolysis applicator and overlapping, two-cycle treatments Lasers in Surgery and Medicine, November 24, 2014    Clinical Article

5 Elective resection versus observation after nonoperative management of complicated diverticulitis with abscess: A systematic review and meta-analysis Diseases of the Colon and Rectum, November 14, 2014    Evidence Based Medicine    Review Article

6 Laparoscopic revolution in bariatric surgery Full Text World Journal of Gastroenterology, November 10, 2014    Free full text    Clinical Article

7 Effect of vagotomy during Roux-en-Y gastric bypass surgery on weight loss outcomes Obesity Research & Clinical Practice, November 4, 2014    Clinical Article

8 Comparison of stricture rates using three different gastrojejunostomy anastomotic techniques in laparoscopic Roux-en-Y gastric bypass Surgical Endoscopy, November 5, 2014    Review Article

9 Colorectal stenting: An advanced approach to malignant colorectal obstruction Full Text World Journal of Gastroenterology, November 25, 2014    Free full text    Review Article

10 The effect of the endoscopic duodenal-jejunal bypass liner on obesity and type 2 diabetes mellitus, a multicenter randomized controlled trial Annals of Surgery, November 19, 2014    Clinical Article

11 Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass: A single center experience with 2 years follow-up Obesity Surgery, August 8, 2014    Clinical Article

12 Hartmanns procedure vs loop colostomy in the treatment of obstructive rectosigmoid cancer Full Text World Journal of Emergency Surgery, October 21, 2014    Free full text    Clinical Article

13 Comparative effectiveness of laparoscopic adjustable gastric banding vs laparoscopic gastric bypass JAMA Surgery, November 3, 2014    Clinical Article

14 Fenestrated endovascular aortic aneurysm repair (FEVAR) procedure implemented at Danbury Hospital Western Connecticut Health Network, November 12, 2014

15 Endoscopic sleeve gastroplasty for the treatment of obesity Endoscopy, November 17, 2014    Clinical Article

16 Chemicals found in everyday fruits could minimise organ damage after heart attack and stroke University of Cambridge News, November 14, 2014

17 Aesthetic refinements in body contouring in the massive weight loss patient: Part 2. Arms Plastic and Reconstructive Surgery, November 7, 2014    Clinical Article

18 Study finds gallbladder surgery can wait Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center News, October 6, 2014

19 Initial experience with endoscopic sleeve gastroplasty: technical success and reproducibility in the bariatric population Endoscopy, November 13, 2014    Clinical Article

20 Does volume of cardiac catheterizations correlate with better outcomes? The Children's Hospital of Philadelphia, November 19, 2014

Indexed Journals in Surgery: Surgery, Journal of the American College of Surgeons, Annals of Surgerymore