Delphi consensus on bile duct injuries during laparoscopic cholecystectomy

an evolutionary cul-de-sac or the birth pangs of a new technical framework?

Yukio Iwashita, Taizo Hibi, Tetsuji Ohyama, Akiko Umezawa, Tadahiro Takada, Steven M. Strasberg, Horacio J. Asbun, Henry A. Pitt, Ho Seong Han, Tsann Long Hwang, Kenji Suzuki, Yoo Seok Yoon, In Seok Choi, Dong Sup Yoon, Wayne Shih Wei Huang, Masahiro Yoshida, Go Wakabayashi, Fumihiko Miura, Kohji Okamoto, Itaru Endo & 40 others Eduardo de Santibañes, Mariano Eduardo Giménez, John A. Windsor, O. James Garden, Dirk J. Gouma, Daniel Cherqui, Giulio Belli, Christos Dervenis, Daniel J. Deziel, Eduard Jonas, Palepu Jagannath, Avinash Nivritti Supe, Harjit Singh, Kui Hin Liau, Xiao Ping Chen, Angus C.W. Chan, Wan Yee Lau, Sheung Tat Fan, Miin Fu Chen, Myung Hwan Kim, Goro Honda, Atsushi Sugioka, Koji Asai, Keita Wada, Yasuhisa Mori, Ryota Higuchi, Takeyuki Misawa, Manabu Watanabe, Naoki Matsumura, Toshiki Rikiyama, Naohiro Sata, Nobuyasu Kano, Hiromi Tokumura, Taizo Kimura, Seigo Kitano, Masafumi Inomata, Koichi Hirata, Yoshinobu Sumiyama, Kazuo Inui, Masakazu Yamamoto

研究成果: ジャーナルへの寄稿記事

10 引用 (Scopus)

抄録

Bile duct injury (BDI) during laparoscopic cholecystectomy remains a serious iatrogenic surgical complication. BDI most often occurs as a result of misidentification of the anatomy; however, clinical evidence on its precise mechanism and surgeons’ perceptions is scarce. Surgeons from Japan, Korea, Taiwan, and the USA, etc. (n = 614) participated in a questionnaire regarding their BDI experience and near-misses; and perceptions on landmarks, intraoperative findings, and surgical techniques. Respondents voted for a Delphi process and graded each item on a five-point scale. The consensus was built when ≥80% of overall responses were 4 or 5. Response rates for the first- and second-round Delphi were 60.6% and 74.9%, respectively. Misidentification of local anatomy accounted for 76.2% of BDI. Final consensus was reached on: (1) Effective retraction of the gallbladder, (2) Always obtaining critical view of safety, and (3) Avoiding excessive use of electrocautery/clipping as vital procedures; and (4) Calot's triangle area and (5) Critical view of safety as important landmarks. For (6) Impacted gallstone and (7) Severe fibrosis/scarring in Calot's triangle, bail-out procedures may be indicated. A consensus was reached among expert surgeons on relevant landmarks and intraoperative findings and appropriate surgical techniques to avoid BDI.

元の言語英語
ページ(範囲)591-602
ページ数12
ジャーナルJournal of Hepato-Biliary-Pancreatic Sciences
24
発行部数11
DOI
出版物ステータス出版済み - 11 1 2017

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Laparoscopic Cholecystectomy
Bile Ducts
Parturition
Wounds and Injuries
Anatomy
Safety
Electrocoagulation
Gallstones
Korea
Gallbladder
Taiwan
Cicatrix
Japan
Fibrosis
Surgeons
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Surgery
  • Hepatology

これを引用

Delphi consensus on bile duct injuries during laparoscopic cholecystectomy : an evolutionary cul-de-sac or the birth pangs of a new technical framework? / Iwashita, Yukio; Hibi, Taizo; Ohyama, Tetsuji; Umezawa, Akiko; Takada, Tadahiro; Strasberg, Steven M.; Asbun, Horacio J.; Pitt, Henry A.; Han, Ho Seong; Hwang, Tsann Long; Suzuki, Kenji; Yoon, Yoo Seok; Choi, In Seok; Yoon, Dong Sup; Huang, Wayne Shih Wei; Yoshida, Masahiro; Wakabayashi, Go; Miura, Fumihiko; Okamoto, Kohji; Endo, Itaru; de Santibañes, Eduardo; Giménez, Mariano Eduardo; Windsor, John A.; Garden, O. James; Gouma, Dirk J.; Cherqui, Daniel; Belli, Giulio; Dervenis, Christos; Deziel, Daniel J.; Jonas, Eduard; Jagannath, Palepu; Supe, Avinash Nivritti; Singh, Harjit; Liau, Kui Hin; Chen, Xiao Ping; Chan, Angus C.W.; Lau, Wan Yee; Fan, Sheung Tat; Chen, Miin Fu; Kim, Myung Hwan; Honda, Goro; Sugioka, Atsushi; Asai, Koji; Wada, Keita; Mori, Yasuhisa; Higuchi, Ryota; Misawa, Takeyuki; Watanabe, Manabu; Matsumura, Naoki; Rikiyama, Toshiki; Sata, Naohiro; Kano, Nobuyasu; Tokumura, Hiromi; Kimura, Taizo; Kitano, Seigo; Inomata, Masafumi; Hirata, Koichi; Sumiyama, Yoshinobu; Inui, Kazuo; Yamamoto, Masakazu.

:: Journal of Hepato-Biliary-Pancreatic Sciences, 巻 24, 番号 11, 01.11.2017, p. 591-602.

研究成果: ジャーナルへの寄稿記事

Iwashita, Y, Hibi, T, Ohyama, T, Umezawa, A, Takada, T, Strasberg, SM, Asbun, HJ, Pitt, HA, Han, HS, Hwang, TL, Suzuki, K, Yoon, YS, Choi, IS, Yoon, DS, Huang, WSW, Yoshida, M, Wakabayashi, G, Miura, F, Okamoto, K, Endo, I, de Santibañes, E, Giménez, ME, Windsor, JA, Garden, OJ, Gouma, DJ, Cherqui, D, Belli, G, Dervenis, C, Deziel, DJ, Jonas, E, Jagannath, P, Supe, AN, Singh, H, Liau, KH, Chen, XP, Chan, ACW, Lau, WY, Fan, ST, Chen, MF, Kim, MH, Honda, G, Sugioka, A, Asai, K, Wada, K, Mori, Y, Higuchi, R, Misawa, T, Watanabe, M, Matsumura, N, Rikiyama, T, Sata, N, Kano, N, Tokumura, H, Kimura, T, Kitano, S, Inomata, M, Hirata, K, Sumiyama, Y, Inui, K & Yamamoto, M 2017, 'Delphi consensus on bile duct injuries during laparoscopic cholecystectomy: an evolutionary cul-de-sac or the birth pangs of a new technical framework?', Journal of Hepato-Biliary-Pancreatic Sciences, 巻. 24, 番号 11, pp. 591-602. https://doi.org/10.1002/jhbp.503
Iwashita, Yukio ; Hibi, Taizo ; Ohyama, Tetsuji ; Umezawa, Akiko ; Takada, Tadahiro ; Strasberg, Steven M. ; Asbun, Horacio J. ; Pitt, Henry A. ; Han, Ho Seong ; Hwang, Tsann Long ; Suzuki, Kenji ; Yoon, Yoo Seok ; Choi, In Seok ; Yoon, Dong Sup ; Huang, Wayne Shih Wei ; Yoshida, Masahiro ; Wakabayashi, Go ; Miura, Fumihiko ; Okamoto, Kohji ; Endo, Itaru ; de Santibañes, Eduardo ; Giménez, Mariano Eduardo ; Windsor, John A. ; Garden, O. James ; Gouma, Dirk J. ; Cherqui, Daniel ; Belli, Giulio ; Dervenis, Christos ; Deziel, Daniel J. ; Jonas, Eduard ; Jagannath, Palepu ; Supe, Avinash Nivritti ; Singh, Harjit ; Liau, Kui Hin ; Chen, Xiao Ping ; Chan, Angus C.W. ; Lau, Wan Yee ; Fan, Sheung Tat ; Chen, Miin Fu ; Kim, Myung Hwan ; Honda, Goro ; Sugioka, Atsushi ; Asai, Koji ; Wada, Keita ; Mori, Yasuhisa ; Higuchi, Ryota ; Misawa, Takeyuki ; Watanabe, Manabu ; Matsumura, Naoki ; Rikiyama, Toshiki ; Sata, Naohiro ; Kano, Nobuyasu ; Tokumura, Hiromi ; Kimura, Taizo ; Kitano, Seigo ; Inomata, Masafumi ; Hirata, Koichi ; Sumiyama, Yoshinobu ; Inui, Kazuo ; Yamamoto, Masakazu. / Delphi consensus on bile duct injuries during laparoscopic cholecystectomy : an evolutionary cul-de-sac or the birth pangs of a new technical framework?. :: Journal of Hepato-Biliary-Pancreatic Sciences. 2017 ; 巻 24, 番号 11. pp. 591-602.
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title = "Delphi consensus on bile duct injuries during laparoscopic cholecystectomy: an evolutionary cul-de-sac or the birth pangs of a new technical framework?",
abstract = "Bile duct injury (BDI) during laparoscopic cholecystectomy remains a serious iatrogenic surgical complication. BDI most often occurs as a result of misidentification of the anatomy; however, clinical evidence on its precise mechanism and surgeons’ perceptions is scarce. Surgeons from Japan, Korea, Taiwan, and the USA, etc. (n = 614) participated in a questionnaire regarding their BDI experience and near-misses; and perceptions on landmarks, intraoperative findings, and surgical techniques. Respondents voted for a Delphi process and graded each item on a five-point scale. The consensus was built when ≥80{\%} of overall responses were 4 or 5. Response rates for the first- and second-round Delphi were 60.6{\%} and 74.9{\%}, respectively. Misidentification of local anatomy accounted for 76.2{\%} of BDI. Final consensus was reached on: (1) Effective retraction of the gallbladder, (2) Always obtaining critical view of safety, and (3) Avoiding excessive use of electrocautery/clipping as vital procedures; and (4) Calot's triangle area and (5) Critical view of safety as important landmarks. For (6) Impacted gallstone and (7) Severe fibrosis/scarring in Calot's triangle, bail-out procedures may be indicated. A consensus was reached among expert surgeons on relevant landmarks and intraoperative findings and appropriate surgical techniques to avoid BDI.",
author = "Yukio Iwashita and Taizo Hibi and Tetsuji Ohyama and Akiko Umezawa and Tadahiro Takada and Strasberg, {Steven M.} and Asbun, {Horacio J.} and Pitt, {Henry A.} and Han, {Ho Seong} and Hwang, {Tsann Long} and Kenji Suzuki and Yoon, {Yoo Seok} and Choi, {In Seok} and Yoon, {Dong Sup} and Huang, {Wayne Shih Wei} and Masahiro Yoshida and Go Wakabayashi and Fumihiko Miura and Kohji Okamoto and Itaru Endo and {de Santiba{\~n}es}, Eduardo and Gim{\'e}nez, {Mariano Eduardo} and Windsor, {John A.} and Garden, {O. James} and Gouma, {Dirk J.} and Daniel Cherqui and Giulio Belli and Christos Dervenis and Deziel, {Daniel J.} and Eduard Jonas and Palepu Jagannath and Supe, {Avinash Nivritti} and Harjit Singh and Liau, {Kui Hin} and Chen, {Xiao Ping} and Chan, {Angus C.W.} and Lau, {Wan Yee} and Fan, {Sheung Tat} and Chen, {Miin Fu} and Kim, {Myung Hwan} and Goro Honda and Atsushi Sugioka and Koji Asai and Keita Wada and Yasuhisa Mori and Ryota Higuchi and Takeyuki Misawa and Manabu Watanabe and Naoki Matsumura and Toshiki Rikiyama and Naohiro Sata and Nobuyasu Kano and Hiromi Tokumura and Taizo Kimura and Seigo Kitano and Masafumi Inomata and Koichi Hirata and Yoshinobu Sumiyama and Kazuo Inui and Masakazu Yamamoto",
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month = "11",
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journal = "Journal of Hepato-Biliary-Pancreatic Sciences",
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TY - JOUR

T1 - Delphi consensus on bile duct injuries during laparoscopic cholecystectomy

T2 - an evolutionary cul-de-sac or the birth pangs of a new technical framework?

AU - Iwashita, Yukio

AU - Hibi, Taizo

AU - Ohyama, Tetsuji

AU - Umezawa, Akiko

AU - Takada, Tadahiro

AU - Strasberg, Steven M.

AU - Asbun, Horacio J.

AU - Pitt, Henry A.

AU - Han, Ho Seong

AU - Hwang, Tsann Long

AU - Suzuki, Kenji

AU - Yoon, Yoo Seok

AU - Choi, In Seok

AU - Yoon, Dong Sup

AU - Huang, Wayne Shih Wei

AU - Yoshida, Masahiro

AU - Wakabayashi, Go

AU - Miura, Fumihiko

AU - Okamoto, Kohji

AU - Endo, Itaru

AU - de Santibañes, Eduardo

AU - Giménez, Mariano Eduardo

AU - Windsor, John A.

AU - Garden, O. James

AU - Gouma, Dirk J.

AU - Cherqui, Daniel

AU - Belli, Giulio

AU - Dervenis, Christos

AU - Deziel, Daniel J.

AU - Jonas, Eduard

AU - Jagannath, Palepu

AU - Supe, Avinash Nivritti

AU - Singh, Harjit

AU - Liau, Kui Hin

AU - Chen, Xiao Ping

AU - Chan, Angus C.W.

AU - Lau, Wan Yee

AU - Fan, Sheung Tat

AU - Chen, Miin Fu

AU - Kim, Myung Hwan

AU - Honda, Goro

AU - Sugioka, Atsushi

AU - Asai, Koji

AU - Wada, Keita

AU - Mori, Yasuhisa

AU - Higuchi, Ryota

AU - Misawa, Takeyuki

AU - Watanabe, Manabu

AU - Matsumura, Naoki

AU - Rikiyama, Toshiki

AU - Sata, Naohiro

AU - Kano, Nobuyasu

AU - Tokumura, Hiromi

AU - Kimura, Taizo

AU - Kitano, Seigo

AU - Inomata, Masafumi

AU - Hirata, Koichi

AU - Sumiyama, Yoshinobu

AU - Inui, Kazuo

AU - Yamamoto, Masakazu

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Bile duct injury (BDI) during laparoscopic cholecystectomy remains a serious iatrogenic surgical complication. BDI most often occurs as a result of misidentification of the anatomy; however, clinical evidence on its precise mechanism and surgeons’ perceptions is scarce. Surgeons from Japan, Korea, Taiwan, and the USA, etc. (n = 614) participated in a questionnaire regarding their BDI experience and near-misses; and perceptions on landmarks, intraoperative findings, and surgical techniques. Respondents voted for a Delphi process and graded each item on a five-point scale. The consensus was built when ≥80% of overall responses were 4 or 5. Response rates for the first- and second-round Delphi were 60.6% and 74.9%, respectively. Misidentification of local anatomy accounted for 76.2% of BDI. Final consensus was reached on: (1) Effective retraction of the gallbladder, (2) Always obtaining critical view of safety, and (3) Avoiding excessive use of electrocautery/clipping as vital procedures; and (4) Calot's triangle area and (5) Critical view of safety as important landmarks. For (6) Impacted gallstone and (7) Severe fibrosis/scarring in Calot's triangle, bail-out procedures may be indicated. A consensus was reached among expert surgeons on relevant landmarks and intraoperative findings and appropriate surgical techniques to avoid BDI.

AB - Bile duct injury (BDI) during laparoscopic cholecystectomy remains a serious iatrogenic surgical complication. BDI most often occurs as a result of misidentification of the anatomy; however, clinical evidence on its precise mechanism and surgeons’ perceptions is scarce. Surgeons from Japan, Korea, Taiwan, and the USA, etc. (n = 614) participated in a questionnaire regarding their BDI experience and near-misses; and perceptions on landmarks, intraoperative findings, and surgical techniques. Respondents voted for a Delphi process and graded each item on a five-point scale. The consensus was built when ≥80% of overall responses were 4 or 5. Response rates for the first- and second-round Delphi were 60.6% and 74.9%, respectively. Misidentification of local anatomy accounted for 76.2% of BDI. Final consensus was reached on: (1) Effective retraction of the gallbladder, (2) Always obtaining critical view of safety, and (3) Avoiding excessive use of electrocautery/clipping as vital procedures; and (4) Calot's triangle area and (5) Critical view of safety as important landmarks. For (6) Impacted gallstone and (7) Severe fibrosis/scarring in Calot's triangle, bail-out procedures may be indicated. A consensus was reached among expert surgeons on relevant landmarks and intraoperative findings and appropriate surgical techniques to avoid BDI.

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DO - 10.1002/jhbp.503

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