SELSI Consensus Statement for Safe Cholecystectomy—Prevention and Management of Bile Duct Injury—Part B

Bansal, Virinder Kumar; Misra, Mahesh C.; Agarwal, Anil; Jb, Agrawal; Agarwal, PN; Aggarwal, Sandeep; Aslam, Mohammad; Krishna, Asuri; Baksi, Aditya; Behari, Anu; Bhattacharjee, Hemanga K.; Bhojwani, Rajesh; Chander, Jagdish; Tk, Chattopadhyay; Chintamani,; Chowbey, Pradeep; Dalvi, Abhay; Dash, Nihar Ranjan; Dhawan, I. K.; Gamangatti, Shivanand; Pk, Garg; Gupta, Nidhi; Gupta, Rajesh; Gupta, Sanjay; Gupta, Vikas; Kaman, Lileswar; Kapur, B. M. L.; Kataria, Kamal; Khan, Muneer; Khanna, Ajay K.; Khullar, Rajesh; Kumar, Anand; Kumar, Atin; Kumar, Sandeep; Kumar, Subodh; Lal, Pawanindra; Maurya, Sanjay; Moirangthem, G. S.; Pal, Sujoy; Panwar, Rajesh; Parshad, Rajinder; Pottakkat, Biju; Prajapati, Om Prakash; Puntambekar, Shailesh; Ranjan, Piyush; Rathore, Yashwant Singh; Sahni, Peush; Sarangi, Rathindra; Seenu, Vuthaluru; Shukla, Vaishali; Singh, DP; Singh, Jaspal; Singh, Rajdeep; Sinha, Rajeev; Sikora, Sadiq S.; Srivastava, Amit; Srivastava, Anurag; Srivastava, K. K.; Thomas, Shaji; Gr, Verma; Wig, J D; Vk, Kapoor

doi:10.1007/s12262-019-01994-1

Cited by 7 publications

(12 citation statements)

References 46 publications

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“…Indian ethnicity is considered a higher-than-normal risk for malignancy and cholecystectomy is recommended for all patients of Indian ethnicity with polyps larger than 6 mm. A similar recommendation was made by the Society of Endoscopic and Laparoscopic Surgeons of India, particularly for those over 50 years old ( 17 ).…”

Section: Discussionmentioning

confidence: 86%

“…Follow-up imaging may have a limited benefit, as only a small number of polyps actually change in size during the follow-up period. A systematic review identified 10 studies that looked at the follow-up of gallbladder polyps between 6 months and 7 years ( 17 ). It found that only 7.6% of polyps increased in size.…”

Section: Discussionmentioning

confidence: 99%

“…It found that only 7.6% of polyps increased in size. Another study found that that 93% of polyps did not change in size during the follow-up period ( 17 ). Neither study stated if growth was more likely to be seen in pseudo polyps or true polyps.…”

Section: Discussionmentioning

confidence: 99%

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Incidental Gallbladder Carcinoma in Gallbladder Polyps: Challenges of Gallbladder Malignancy for an Endemic Population

Gautam

Pandey

Masood

et al. 2021

MJMS

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Background: Gallbladder polyps are considered pre-malignant lesions of gallbladder carcinoma. This study aims to highlight the role of early cholecystectomy in the management of gallbladder polyps in an endemic population. Methods: A retrospective analysis of 2,076 lap cholecystectomy procedures performed at the Department of Surgical Gastroenterology at a tertiary referral centre in Northern India was conducted and incidental malignancy in gallbladder polyps analysed. The 8th edition of the American Joint Committee on Cancer for tumour-node-metastasis (TNM) staging of gallbladder carcinoma was used. Results: Of 54 patients with gallbladder polyps, 53 had benign histology and one had malignant cells in the lamina propria suggestive of T1a adenocarcinoma. The patient with the malignant polyp was older (57 years old) than the patients in the non-cancer group, which had a mean age of 45 (P = 0.039). The size of the malignant polyp was approximately 4 mm, significantly smaller than the average 7.9 mm size of the benign polys (P = 0.031). Conclusion: Cholecystectomy needs to be considered early in the management of small- sized gallbladder polyps, particularly in areas endemic for gallbladder carcinoma.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Incidental Gallbladder Carcinoma in Gallbladder Polyps: Challenges of Gallbladder Malignancy for an Endemic Population

Gautam

Pandey

Masood

et al. 2021

MJMS

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“…It will be a point in favour of the surgeon if he/she called the referral hospital/doctor (surgeon or gastroenterologist/endoscopist) and arranged for prompt admission of the patient in the referral hospital The surgeon is aware of and has read the recently published Society of Endoscopic and Laparoscopic Surgeons of India (SELSI) Consensus Statement for Safe Cholecystectomy—Prevention and Management of BDI. [ 4 5 ] …”

Section: Medicolegal Opinionmentioning

confidence: 99%

“…The surgeon is aware of and has read the recently published Society of Endoscopic and Laparoscopic Surgeons of India (SELSI) Consensus Statement for Safe Cholecystectomy—Prevention and Management of BDI. [ 4 5 ]…”

Section: Medicolegal Opinionmentioning

confidence: 99%

Bile duct injury during cholecystectomy: Culpable or unintentional ‘Choledochocide'

Kapoor

2020

J Min Access Surg

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Knowledge of the Culture of Safety in Cholecystectomy (COSIC) Among Surgical Residents: Do We Train Them Well For Future Practice?

et al. 2021

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Background Biliary injury is the most feared complication of laparoscopic cholecystectomy (LC). This study aimed to assess the awareness of culture of safety in cholecystectomy (COSIC) concept among the surgical residents in India. Methods A manual survey was conducted among general surgery residents attending a postgraduate course. Survey consisted of questions pertaining to knowledge of various aspects of COSIC, e.g., the critical view of safety (CVS). Results With a response rate of 51%, 259 residents were included in this study. They had more exposure to LC (63.3% assisted / performed > 15 LC) than to open cholecystectomy (60.6% assisted / performed ≤ 10 open cholecystectomy). The majority (80.2%) clearly differentiated Calot triangle from the hepatocystic triangle (HCT). However, 25.8% could not correctly define HCT. The majority (88.5%) had seen the Rouviere's sulcus during LC. While almost all (98.4%) respondents claimed to know about the segment 4, only 41.9% could correctly describe it. Awareness of the correct direction of the gallbladder retraction was lower for the infundibulum (53.5%) than for fundus (89.2%). The majority (88.3%) claimed to know CVS but only 11.5% knew it correctly, and 15.1% described > 3 components. The majority (78.7%) practiced to identify the cystic duct‐common bile duct junction. Awareness was low for time‐out (28.1%), intraoperative cholangiography (20.6%), bailout techniques (18.9%), and for overall COSIC concept (15.7%). Conclusions Knowledge of COSIC among surgical residents seems to be suboptimal, especially for the CVS, time‐out, bailout techniques, and overall concept of COSIC. Strategies to educate them more effectively about COSIC are highly imperative to train them well for future practice.

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SELSI Consensus Statement for Safe Cholecystectomy—Prevention and Management of Bile Duct Injury—Part B

Cited by 7 publications

References 46 publications

Incidental Gallbladder Carcinoma in Gallbladder Polyps: Challenges of Gallbladder Malignancy for an Endemic Population

Incidental Gallbladder Carcinoma in Gallbladder Polyps: Challenges of Gallbladder Malignancy for an Endemic Population

Bile duct injury during cholecystectomy: Culpable or unintentional ‘Choledochocide'

Knowledge of the Culture of Safety in Cholecystectomy (COSIC) Among Surgical Residents: Do We Train Them Well For Future Practice?

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