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Complications: How to Prevent and Manage Them

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Laparoscopic Cholecystectomy

Abstract

Biliary duct injuries and hemorrhages are still the most common complications of laparoscopic cholecystectomy. Despite the advances in surgical technique, the incidence rate of these complications is slightly higher compared with open cholecystectomy. Understanding the mechanisms of injury and a greater attention in the prevention of these damages are recommended. We performed a systematic review of the literature with the aim to bring up to date the previous EAES guidelines, paying special attention to biliary duct and vascular injuries prevention and management, but not forgetting abscesses (due to bile leaks and/or gallstone spillage) and bowel injuries. The level of evidence of each article was graded following the “Oxford Centre for Evidence-Based Medicine (OCEBM) 2011 Levels of Evidence.”

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Authors and Affiliations

  1. Division of Surgery, “Nuova Itor” Private Health Facility, Via Pienza 235, 00141, Rome, Italy

    Piero Narilli

  2. Division of Surgery, “Nuova Itor” Private Health Facility, Via Baldassarre Orero 33, 00159, Rome, Italy

    Annalisa Di Filippo

  3. Division of Surgery, “Nuova Itor” Private Health Facility, Via Manfredi 5, 00197, Rome, Italy

    Mario Campli

  4. 1st Division of Surgery, “Santa Chiara” Hospital, 38120, Trento, Italy

    Michele Motter & Alessandro Carrara

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  1. Piero Narilli
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  2. Annalisa Di Filippo
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  3. Mario Campli
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  4. Michele Motter
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  5. Alessandro Carrara
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Correspondence to Piero Narilli .

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Editors and Affiliations

  1. Department of General Surgery, ULSS19 del Veneto, ADRIA, Rovigo, Italy

    Ferdinando Agresta

  2. Division of General Surgery, Hospital S.Giovanni Decollato Andosilla, Civita Castellana, Viterbo, Italy

    Fabio Cesare Campanile

  3. Unit of Laparoscopic Surgery, Hospital Mellino Mellini, Chiari, Brescia, Italy

    Nereo Vettoretto

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Narilli, P., Di Filippo, A., Campli, M., Motter, M., Carrara, A. (2014). Complications: How to Prevent and Manage Them. In: Agresta, F., Campanile, F., Vettoretto, N. (eds) Laparoscopic Cholecystectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-05407-0_7

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  • DOI: https://doi.org/10.1007/978-3-319-05407-0_7

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