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

Bansal, Virinder Kumar; Misra, Mahesh Chandra; 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/s12262-019-01993-2

Cited by 9 publications

(14 citation statements)

References 70 publications

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“…Calot's triangle was dissected and metallic clips were applied to the cystic artery and duct separately and cut as per the principles of culture of safety in cholecystectomy (COSIC). 10,11 Gall bladder was dissected from the liver using monopolar electrocautery and removed in an endobag through the epigastric port. Haemostasis was secured and ports were removed.…”

Section: Laparoscopic Cholecystectomymentioning

confidence: 99%

Laparoscopic Cholecystectomy under Spinal Anaesthesia – A Single Center Experience

et al. 2021

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Traditionally, laparoscopic cholecystectomy is performed under general anaesthesia. However, it can be performed under spinal anaesthesia as the dissection is confined to the gall bladder fossa and cystic triangle and bowel handling is usually minimal. The present study was performed to study the feasibility of performing laparoscopic cholecystectomy under spinal anaesthesia. A prospective observational single center cohort study was conducted with a sample size of 60 patients diagnosed with gall stone disease. Laparoscopic cholecystectomy was performed under spinal anaesthesia using low insufflation pressure of 8-10 mm of Hg. The outcomes studied include intra operative events (hypotension, bradycardia, abdominal pain, shoulder pain and requirement for sedation), reasons for conversion (spinal to general anaesthesia and from laparoscopic to open cholecystectomy), post-operative pain and complications. Females were more commonly affected than males and at a younger age. Three cases were converted from spinal to general anaesthesia. Two cases were converted from laparoscopic to open cholecystectomy. Intra operative analgesia and sedation were required in 10% and 13.3% of patients respectively. In the post operative period majority of the patients did not require any analgesia. Complications like headache (3.3%) and low backache (5%) were managed conservatively. About 5% of patients required urinary catheterization for post operative urine retention. Laparoscopic cholecystectomy can be performed safely under spinal anaesthesia with minimum morbidity. Spinal anaesthesia involves less cost and is better in terms of post operative pain control. The incidence of various post operative complications are less and manageable.

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Section: Laparoscopic Cholecystectomymentioning

confidence: 99%

Laparoscopic Cholecystectomy under Spinal Anaesthesia – A Single Center Experience

et al. 2021

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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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“…Several strategies during laparoscopic cholecystectomy may help to reduce the incidence of biliary injury, including meticulous dissection of a distorted Calot's triangle, careful usage of the diathermy away from the bile ducts, and avoiding excessive traction on the gallbladder [5]. Better communication between the lead surgeon and the assisting surgeon during surgery and confirmation of the anatomy before dividing the cystic duct and cystic artery has also been shown to reduce the incidence of biliary injury [6].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Management of Hepatic Duct Injury Using Extra-Anatomic Biliary Catheters

Abughararah¹,

Justaniah²,

Ahmad³

et al. 2023

Cureus

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Iatrogenic bile duct injury during laparoscopic cholecystectomy is a known complication of low incidence. The outcome can be devastating if not recognized and managed timely and properly. In cases of iatrogenic biliary injury due to cholecystectomy, the management depends on the level of injury, the timing of discovery (intraoperative or postoperative), and the patient's condition. If discovered intraoperatively, the injury should be managed immediately. In case expertise is lacking, a surgical drain with external biliary drainage can provide a temporary alternative solution to allow for referral to a tertiary care center. If the patient is septic or not fit for surgery, a percutaneous internal-external biliary drainage (PTBD) catheter can be placed until the patient's condition improves. We report a case of complete transection of the common hepatic duct during laparoscopic cholecystectomy managed by extra-anatomic PTBD.

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

Cited by 9 publications

References 70 publications

Laparoscopic Cholecystectomy under Spinal Anaesthesia – A Single Center Experience

Laparoscopic Cholecystectomy under Spinal Anaesthesia – A Single Center Experience

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

Percutaneous Management of Hepatic Duct Injury Using Extra-Anatomic Biliary Catheters

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