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Open Access 01-12-2019 | Cholecystitis | Letter to the Editor

Open conversion for laparoscopically difficult cholecystectomy is still a valid solution with unsolved aspects

Authors: M. Mannino, A. Toro, M. Teodoro, F. Coccolini, M. Sartelli, L. Ansaloni, F. Catena, I. Di Carlo

Published in: World Journal of Emergency Surgery | Issue 1/2019

Abstract

The difficult laparoscopic cholecystectomy remains a surgical challenge for surgeons who must decide between laparoscopic continuation and open conversion. The balance between the lack of open surgery training of young surgeons and the risk of maintaining the laparoscopic approach in difficult laparoscopic cholecystectomy is still an unresolved problem. Furthermore, the time that must be spent in an attempt to complete laparoscopic surgery before conversion is still controversial. The authors in this letter discuss about these and other questions that still require an answer.

Wakabayashi G, Iwashita Y, Hibi T, Takada T, Strasberg SM, Asbun HJ, et al. Tokyo guidelines 2018: surgical management of acute cholecystitis: safe steps in laparoscopic cholecystectomy for acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018;25:73–86 [PMID: 29095575. https://doi.org/10.1002/jhbp.517.CrossRefPubMed

Iwashita Y, Hibi T, Ohyama T, Umezawa A, Takada T, Strasberg SM, et al. Delphi consensus on bile duct injuries during laparoscopic cholecystectomy: an evolutionary cul-de-sac or the birth pangs of a new technical framework? J Hepatobiliary Pancreat Sci. 2017;24:591–602 [PMID: 28884962. https://doi.org/10.1002/jhbp.503.CrossRefPubMed

Conrad C, Wakabayashi G, Asbun HJ, Dallemagne B, Demartines N, Diana M, et al. IRCAD recommendation on safe laparoscopic cholecystectomy. J Hepatobiliary Pancreat Sci. 2017;24:603–15. [PMID: 29076265. https://doi.org/10.1002/jhbp.491.CrossRefPubMed

Ansaloni L, Pisano M, Coccolini F, Peitzmann AB, Fingerhut A, Catena F, et al. 2016 WSES guidelines on acute calculous cholecystitis. World J Emerg Surg. 2016;11:25. [PMID: 27307785. https://doi.org/10.1186/s13017-016-0082-5.CrossRefPubMedPubMedCentral

Elshaer M, Gravante G, Thomas K, Sorge R, Al-Hamali S, Ebdewi H. Subtotal cholecystectomy for “difficult gallbladders”: systematic review and meta-analysis. JAMA Surg. 2015;150:159–68 [PMID: 25548894. https://doi.org/10.1001/jamasurg.2014.1219.CrossRefPubMed

Henneman D, Da Costa DW, Vrouenraets BC, Van Wagensveld BA, Lagarde SM. Laparoscopic partial cholecystectomy for the difficult gallbladder: a systematic review. Surg Endosc. 2013;27:351–8 [PMID: 22806521. https://doi.org/10.1007/s00464-012-2458-2.CrossRefPubMed

Pucher PH, Brunt LM, Davies N, Linsk A, Munshi A, Rodriguez HA, et al. Outcome trends and safety measures after 30 years of laparoscopic cholecystectomy: a systematic review and pooled data analysis. Surg Endosc. 2018;32:2175–83 [PMID: 29556977. https://doi.org/10.1007/s00464-017-5974-2.CrossRefPubMedPubMedCentral

Sutcliffe RP, Hollyman M, Hodson J, Bonney G, Vohra RS, Griffiths EA. Preoperative risk factors for conversion from laparoscopic to open cholecystectomy: a validated risk score derived from a prospective U.K. database of 8820 patients. HPB (Oxford). 2016;18:922–8 [PMID: 27591176. https://doi.org/10.1016/j.hpb.2016.07.015.CrossRef

Sugrue M, Sahebally SM, Ansaloni L, Zielinski MD. Grading operative findings at laparoscopic cholecystectomy - a new scoring system. World J Emerg Surg. 2015;10:14 [PMID: 25870652. https://doi.org/10.1186/s13017-015-0005-x.CrossRefPubMedPubMedCentral

10.

Testini M, Sgaramella LI, De Luca GM, Pasculli A, Gurrado A, Biondi A, Piccinni G. Management of Mirizzi syndrome in emergency. J Laparoendosc Adv Surg Tech A. 2017;27:28–32. [PMID: 27611820. https://doi.org/10.1089/lap.2016.0315.CrossRefPubMed

11.

Hirajima S, Koh T, Sakai T, Imamura T, Kato S, Nishimura Y, Soga K, Nishio M, Oguro A, Nakagawa N. Utility of laparoscopic subtotal cholecystectomy with or without cystic duct ligation for severe cholecystitis. Am Surg. 2017;83(11):1209–13.PubMed

12.

Shingu Y, Komatsu S, Norimizu S, Taguchi Y, Sakamoto E. Laparoscopic subtotal cholecystectomy for severe cholecystitis. Surg Endosc. 2016;30(2):526–31. https://doi.org/10.1007/s00464-015-4235-5 Epub 2015 Jun 20.CrossRefPubMed

13.

Iwashita Y, Ohyama T, Honda G, Hibi T, Yoshida M, Miura F, et al. What are the appropriate indicators of surgical difficulty during laparoscopic cholecystectomy? Results from a Japan-Korea-Taiwan multinational survey. J Hepatobiliary Pancreat Sci. 2016;23:533–47 [PMID: 27490841. https://doi.org/10.1002/jhbp.375.CrossRefPubMed

14.

Bharamgoudar R, Sonsale A, Hodson J, Griffiths E. The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy. Surg Endosc. 2018:1–9 [PMID: 29340820. https://doi.org/10.1007/s00464-018-6030-6.

15.

Kuwabara J, Watanabe Y, Kameoka K, Horiuchi A, Sato K, Yukumi S, Yoshida M, Yamamoto Y, Sugishita H. Usefulness of laparoscopic subtotal cholecystectomy with operative cholangiography for severe cholecystitis. Surg Today. 2014;44(3):462–5. https://doi.org/10.1007/s00595-013-0626-1 Epub 2013 Jun 5.CrossRefPubMed

16.

Strasberg SM, Pucci MJ, Brunt LM, Deziel DJ. Subtotal cholecystectomy-“fenestrating” vs “reconstituting” subtypes and the prevention of bile duct injury: definition of the optimal procedure in difficult operative conditions. J Am Coll Surg. 2016;222:89–96 [PMID: 26521077. https://doi.org/10.1016/j.jamcollsurg.2015.09.019.CrossRefPubMed

17.

Di Carlo I, Pulvirenti E, Toro A, Corsale G. Modified subtotal cholecystectomy: results of a laparotomy procedure during the laparoscopic era. World J Surg. 2009;33:520–5 [PMID: 19148698. https://doi.org/10.1007/s00268-008-9897-x.CrossRefPubMed

18.

van Dijk AH, Donkervoort SC, Lameris W, de Vries E, Eijsbouts QAJ, Vrouenraets BC, et al. Short- and long-term outcomes after a reconstituting and fenestrating subtotal cholecystectomy. J Am Coll Surg. 2017;225:371–9 [PMID: 28606484. https://doi.org/10.1016/j.jamcollsurg.2017.05.016.CrossRefPubMed

19.

Toro A, Mannino M, Bortolussi C, Di Carlo I. Does converted open subtotal cholecystectomy definitively cure a diseased gallbladder? J Am Coll Surg. 2018;226:332 [PMID: 29478470. https://doi.org/10.1016/j.jamcollsurg.2017.11. CrossRefPubMed

Title: Open conversion for laparoscopically difficult cholecystectomy is still a valid solution with unsolved aspects
Authors: M. Mannino
A. Toro
M. Teodoro
F. Coccolini
M. Sartelli
L. Ansaloni
F. Catena
I. Di Carlo
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Cholecystitis
Laparoscopy
Cholecystectomy
Published in: World Journal of Emergency Surgery / Issue 1/2019
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/s13017-019-0227-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Open conversion for laparoscopically difficult cholecystectomy is still a valid solution with unsolved aspects

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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