What are the SAGES guidelines for laparoscopic biliary tract surgery for cholecystitis?

Updated: May 20, 2021
  • Author: Alan A Bloom, MD; Chief Editor: BS Anand, MD  more...
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Answer

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) issued guidelines for the clinical application of laparoscopic biliary tract surgery in 2010. The guidelines include detailed recommendations for making the decision to operate, performing the procedure, and managing postoperative care, with the patient's safety always the primary consideration. Recommendations are as follows: [41]

  • Preoperative antibiotics should be considered only to reduce the possibility of wound infection in high-risk patients, and then limited to one preoperative dose.

  • Intraoperative cholangiography may improve injury recognition and decrease the risk of bile duct injury.

  • If bile duct injury occurs, the patient should be referred to an experienced hepatobiliary specialist before any repair is undertaken, unless the primary surgeon has experience with biliary reconstruction.


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