Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of
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and Other Interventional Techniques
GUIDELINES
Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) M. Eikermann • R. Siegel • I. Broeders • C. Dziri • A. Fingerhut • C. Gutt • T. Jaschinski • A. Nassar • A. M. Paganini • D. Pieper • E. Targarona M. Schrewe • A. Shamiyeh • M. Strik • E. A. M. Neugebauer
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Received: 22 July 2012 / Accepted: 29 July 2012 / Published online: 6 October 2012 Springer Science+Business Media, LLC 2012
Abstract Background 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. Prevention and management of BDI has given rise to a host of publications but very few recommendations, especially in Europe.
Methods A systematic research of the literature was performed. An international expert panel was invited to appraise the current literature and to develop evidencebased 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
M. Eikermann T. Jaschinski D. Pieper E. A. M. Neugebauer (&) Institute for Research in Operative Medicine (IFOM), Faculty of Health, Witten/Herdecke University, Campus CologneMerheim, Ostmerheimer Straße 200, 51109 Cologne, Germany e-mail: [email protected]
A. Nassar BMI Ross Hall Hospital, Glasgow, UK
R. Siegel Department of Visceral, Vascular, and Transplantation Surgery, Faculty of Health, Witten/Herdecke University, Campus Cologne-Merheim, Cologne, Germany I. Broeders Meander Medisch Centrum, Afdeling Chirurgie, Amersfoort, The Netherlands C. Dziri Department B of General Surgery, Hoˆpital Charles Nicolle, University of Tunis El Manar, Boulevard du 9 avril 1938, Tunis 1006, Tunisia A. Fingerhut First Department of Propaedeutic Surgery, Hippokration Hospital, Athens Medical School Greece, 115 27 Athens, Greece
A. M. Paganini Clinica Chirurgica e Tecnologie Avanzate, Dipartimento di Chirurgia Generale, Specialita` Chirurgiche e Trapianti d’Organo ‘‘Paride Stefanini’’, Azienda Policlinico Umberto I, ‘‘Sapienza’’ Universita` di Roma, Rome, Italy E. Targarona Service of Surgery, Hospital de Santpau, Autonomous University Autonomous of Barcelona, Barcelona, Spain M. Schrewe GRB-Consulting Company for Risk-Management, Klingenbergstraße 4, 32758 Detmold, Germany A. Shamiyeh Ludwig Boltzmann Institute for Operative Laparoscopy, 2nd Surgical Department,
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