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Choosing the Best Timing for Cholecystectomy

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The SAGES Manual of Biliary Surgery

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Abstract

In TG18, the selection of treatment strategy at each severity grade of AC is based on predictive factors, CCI score, and ASA-PS score. Laparoscopic cholecystectomy to treat Grade II (moderate) and Grade III (severe) AC should be performed only at advanced centers and by experienced surgeons, in addition to the conditions described in the TG18 treatment flowcharts. If the patient is not considered suitable for early surgery, TG18 recommends early/urgent biliary drainage followed by delayed surgery once the patient’s overall condition has improved. TG18 treatment flowcharts were aimed at improving the percentage of lives saved by allowing doctors to determine how to safely treat AC through the use of decision-making criteria.

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References

  1. The committee for the guidelines of acute cholangitis and cholecystitis. Clinical practice guidelines for acute cholangitis/cholecystitis based on scientific evidence. Tokyo: Igakutosho-shuppan Ltd; 2005.. (in Japanese)

    Google Scholar 

  2. Balshem H, Helfand M, Schunemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol. 2011;64:401–6.

    Article  Google Scholar 

  3. Okamoto K, Suzuki K, Takada T, Strasberg SM, Asbun HJ, Endo I, et al. Tokyo guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci. 2018;25:58–75.

    Article  Google Scholar 

  4. Yokoe M, Takada T, Strasberg SM, Solomkin JS, Mayumi T, Gomi H, et al. TG13 diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2013;20:35–46.

    Article  Google Scholar 

  5. Yokoe M, Hata J, Takada T, Strasberg SM, Asbun HJ, Wakabayashi G, et al. Tokyo guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018;25:34–47.

    Article  Google Scholar 

  6. Naidu K, Beenen E, Gananadha S, Mosse C. The yield of fever, inflammatory markers and ultrasound in the diagnosis of acute cholecystitis: a validation of the 2013 Tokyo guidelines. World J Surg. 2016;40:2892–7.

    Article  CAS  Google Scholar 

  7. Yokoe M, Takada T, Strasberg SM, Solomkin JS, Mayumi T, Gomi H, et al. New diagnostic criteria and severity assessment of acute cholecystitis in revised Tokyo guidelines. J Hepatobiliary Pancreat Sci. 2012;19:578–85.

    Article  Google Scholar 

  8. Hirota M, Takada T, Kawarada Y, Nimura Y, Miura F, Hirata K, et al. Diagnostic criteria and severity assessment of acute cholecystitis: Tokyo guidelines. J Hepato-Biliary-Pancreat Surg. 2007;14(1):78–82.

    Article  Google Scholar 

  9. Miura F, Okamoto K, Takada T, Strasberg SM, Asbun HJ, Pitt HA, et al. Tokyo guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis. J Hepatobiliary Pancreat Sci. 2018;25:48–57.

    Article  Google Scholar 

  10. Gomi H, Solomkin JS, Schlossberg D, Okamoto K, Takada T, Strasberg SM, et al. TG 18: antimicrobial therapy for acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2018;25:6–19.

    Article  Google Scholar 

  11. Mori Y, Itoi T, Baron TH, Takada T, Strasberg SM, Pitt HA, et al. TG18 management strategies for gallbladder drainage in patients with acute cholecystitis: updated Tokyo guidelines 2018 (with videos). J Hepatobiliary Pancreat Sci. 2018;25:76–84.

    Article  Google Scholar 

  12. 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 Hepato-Biliary-Pancreat Surg. 2016;23:533–47.

    Article  Google Scholar 

  13. Hibi T, Iwashita Y, Ohyama T, Honda G, Yoshida M, Takada T, et al. The “right” way is not always popular: comparison of surgeons’ perceptions during laparoscopic cholecystectomy for acute cholecystitis among experts from Japan, Korea and Taiwan. J Hepato-Biliary-Pancreat Surg. 2017;24:24–32.

    Article  Google Scholar 

  14. Iwashita Y, Hibi T, Ohyama T, Honda G, Yoshida M, Miura F, et al. An opportunity in difficulty: Japan–Korea–Taiwan expert Delphi consensus on surgical difficulty during laparoscopic cholecystectomy. J Hepato-Biliary-Pancreat Surg. 2017;24:191–8.

    Article  Google Scholar 

  15. 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.

    Article  Google Scholar 

  16. Wakabayashi G, Iwashita Y, Hibi T, Takada T, Strasberg SM, Asbun HJ, et al. TG18 surgical management of acute cholecystitis. Safe steps in laparoscopic cholecystectomy for acute cholecystitis. (with video). J Hepatobiliary Pancreat Sci. 2018;25:85–98.

    Article  Google Scholar 

  17. Yokoe M, Takada T, Hwang TL, Endo I, Akazawa K, Miura F, et al. Descriptive review of acute cholecystitis: Japan-Taiwan collaborative epidemiological study. J Hepato-Biliary-Pancreat Surg. 2017;24:319–28.

    Article  Google Scholar 

  18. Yokoe M, Takada T, Hwang TL, Endo I, Akazawa K, Miura F, et al. Validation of TG13 severity grading in acute cholecystitis: Japan-Taiwan collaborative study for acute cholecystitis. J Hepatobiliary Pancreat Sci. 2017;24:338–45.

    Article  Google Scholar 

  19. Endo I, Takada T, Hwang T-L, Akazawa K, Mori R, Miura F, et al. Optimal treatment strategy for acute cholecystitis based on predictive factors: Japan-Taiwan multicenter cohort study. J Hepatobiliary Pancreat Sci. 2017;24:346–61.

    Article  Google Scholar 

  20. Choi JW, Park SH, Choi SY, Kim HS, Kim TH. Comparison of clinical result between early laparoscopic cholecystectomy and delayed laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for patients with complicated acute cholecystitis. Korean J Hepatobiliary Pancreat Surg. 2012;16(4):147–53.

    Article  Google Scholar 

  21. Tanaka M, Komatsubara H, Noguchi D, Ichikawa K, Kouno M, Kondo A, et al. Laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis. JJBA. 2016;30:667–72. (in Japanese with English abstract).

    Google Scholar 

  22. El-Gendi A, El-Shafei M, Emara D. Emergency versus delayed cholecystectomy after percutaneous transhepatic gallbladder drainage in grade II acute cholecystitis patients. J Gastrointest Surg. 2017;21:284–93.

    Article  Google Scholar 

  23. Karakayali FY, Akdur A, Kirnap M, Harman A, Ekici Y, Moray G. Emergency cholecystectomy vs percutaneous cholecystostomy plus delayed cholecystectomy for patients with acute cholecystitis. Hepatobiliary Pancreat Dis Int. 2014;13(3):316–22.

    Article  Google Scholar 

  24. Whitcomb DC. Acute pancreatitis. N Engl J Med. 2006;354:2142–50.

    Article  Google Scholar 

  25. Kingsnorth A, O’Reilly D. Acute pancreatitis. BMJ. 2006;332:1072–6.

    Article  Google Scholar 

  26. da Costa DW, Bouwense SA, Schepers NJ, Besselink MG, van Santvoort HC, van Brunschot S, Dutch Pancreatitis Study Group, et al. Same-admission versus interval cholecystectomy for mild gallstone pancreatitis (PONCHO): a multicentre randomised controlled trial. Lancet. 2015;386:1261–8.

    Article  Google Scholar 

  27. Ragnarsson T, Andersson R, Ansari D, Persson U, Andersson B. Acute biliary pancreatitis: focus on recurrence rate and costs when current guidelines are not complied. Scand J Gastroenterol. 2017;52(3):264–9.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Center for Gastroenterology and Liver Disease, Kitakyushu City Yahata Hospital, Kitakyushu, Fukuoka, Japan

    Kohji Okamoto

  2. Department of Surgery, Teikyo University, Shiniyuku-ku, Tokyo, Japan

    Tadahiro Takada

Authors
  1. Kohji Okamoto
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  2. Tadahiro Takada
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Correspondence to Tadahiro Takada .

Editor information

Editors and Affiliations

  1. Chief of HPB - Miami Cancer Institute, Miami, FL, USA

    Horacio J. Asbun

  2. Assistant Professor of Surgery, Winship Cancer Institute, Division of Surgical Oncology, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA

    Mihir M. Shah

  3. Associate Professor of Surgery, University of New Mexico, School of Medicine, Indianapolis, IN, USA

    Eugene P. Ceppa

  4. Department of Surgery, University of New Mexico School of Medicine, Albuquerque, NM, USA

    Edward D. Auyang

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© 2020 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

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Okamoto, K., Takada, T. (2020). Choosing the Best Timing for Cholecystectomy. In: Asbun, H., Shah, M., Ceppa, E., Auyang, E. (eds) The SAGES Manual of Biliary Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-13276-7_6

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  • DOI: https://doi.org/10.1007/978-3-030-13276-7_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-13275-0

  • Online ISBN: 978-3-030-13276-7

  • eBook Packages: MedicineMedicine (R0)

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