@article{6192eccd08dd470cb169857d07bfbacb,
title = "Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy",
abstract = "Background: Bile duct injury (BDI) is the most common serious complication of laparoscopic cholecystectomy. To address this problem, a multi-society consensus conference was held to develop evidenced-based recommendations for safe cholecystectomy and prevention of BDI. Methods: Literature reviews were conducted for 18 key questions across six broad topics around cholecystectomy directed by a steering group and subject experts from five surgical societies (SAGES, AHPBA IHPBA, SSAT, and EAES). Evidence-based recommendations were formulated using the GRADE methodology. When evidence-based recommendations could not be made, expert opinion was documented. A number of recommendations for future research were also documented. Recommendations were presented at a consensus meeting in October 2018 and were voted on by an international panel of 25 experts with greater than 80% agreement considered consensus. Results: Consensus was reached on 17 of 18 questions by the Guideline Development Group (GDG) and expert panel with high concordance from audience participation. Most recommendations were conditional due to low certainty of evidence. Strong recommendations were made for (1) use of intraoperative biliary imaging for uncertainty of anatomy or suspicion of biliary injury; and (2) referral of patients with confirmed or suspected BDI to an experienced surgeon/multispecialty hepatobiliary team. Conclusion: These consensus recommendations should provide guidance to surgeons, training programs, hospitals, and professional societies for strategies that have the potential to reduce BDIs and positively impact patient outcomes. Development of clinical and educational research initiatives based on these recommendations may drive further improvement in the quality of surgical care for patients undergoing cholecystectomy.",
keywords = "Bile duct injury, Cholecystectomy, Gallstones, Laparoscopic cholecystectomy, Patient safety",
author = "{the Prevention of Bile Duct Injury Consensus Work Group} and {Michael Brunt}, L. and Deziel, {Daniel J.} and Telem, {Dana A.} and Strasberg, {Steven M.} and Rajesh Aggarwal and Horacio Asbun and Jaap Bonjer and Marian McDonald and Adnan Alseidi and Mike Ujiki and Riall, {Taylor S.} and Chet Hammill and Moulton, {Carol Anne} and Pucher, {Philip H.} and Parks, {Rowan W.} and Ansari, {Mohammed T.} and Saxon Connor and Dirks, {Rebecca C.} and Blaire Anderson and Altieri, {Maria S.} and Levan Tsamalaidze and Dimitrios Stefanidis and Domenech Asbun and {den Baaker}, Chantel and Luigi Boni and Ryan Campagna and Eugene Ceppa and Marie Crandall and Chris Davis and Shanley Deal and Scott Dojels and Ismael Domiguez-Rosado and {van Gastel}, Leonie and Justin Gerard and Daniel Hashimoto and Ewen Harrison and Sara Holden and Romeo Ignacio and Oscara Imventarz and Rohan Jeyarajah and Landin, {MacKenzie K.} and Charles Lawrence and Marc Mesleh and Sara Monafred and Alessandro Paganini and {Fernando Santos}, B. and Sadiq Sikora and Tim Schaffner and Nate Stoikes and Bailey Su",
note = "Funding Information: The consensus meeting was supported by Grants from the SAGES Education and Research Foundation and an R-13 conference Grant from the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health (NIDDK Award Number R13DK120271-01). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We also acknowledge consensus day meeting support by unrestricted education grants from Intuitive Surgical, Medtronic. Karl Storz Endoscopy, Stryker Endoscopy, Boston Scientific, and Ethicon, Inc. Acknowledgements Funding Information: Dr. Raj Aggarwal has been a consultant for Applied Medical; Dr. Adnan Alseidi is a consultant for Johnson & Johnson; Dr. Horacio Asbun has received honoraria from Medtronic for speaking/teaching; Dr. Jaap Bonjer has research grant support from Applied Medical, Johnson & Johnson, and Medtronic, institutional educational grant support from Stryker Endoscopy, and honoraria from Olympus for speaking/teaching; Dr. Michael Brunt has institutional research support from Gore Medical and Karl Storz Endoscopy and honoraria for speaking/teaching from Intuitive Surgical; Dr. Chet Hammill has been a consultant for Medtronic, Intuitive Surgical, and Novadaq; Dr. Philip Pucher is a consultant for Fundamental Surgery; Dr. Dana Telem has received honoraria for speaking/teaching from Gore Medical and Medtronic; Dr. Mike Ujiki is a consultant for Applied Endosurgical, Boston Scientific, and Olympus and has received honoraria for speaking/teaching from Gore Medical and Medtronic. Drs. Daniel Deziel, Steven Strasberg, Marian McDonald, Taylor Riall, Carol-Anne Moulton, Rowan Parks, Mohammed Ansari, Saxon Connor, Rebecca Dirks, Blaire Anderson, Maria Altieri, Levan Tsamalaidze, and Dimitrios Stefanidis have no conflicts of interest or financial ties to disclose. Publisher Copyright: {\textcopyright} 2020, Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and Wolters Kluwer.",
year = "2020",
month = jul,
day = "1",
doi = "10.1007/s00464-020-07568-7",
language = "English (US)",
volume = "34",
pages = "2827--2855",
journal = "Surgical Endoscopy",
issn = "0930-2794",
publisher = "Springer New York",
number = "7",
}