TG13 surgical management of acute cholecystitis

Yuichi Yamashita; Tadahiro Takada; Steven M. Strasberg; Henry A. Pitt; Dirk J. Gouma; O. James Garden; Markus W. Buechler; Harumi Gomi; Christos Dervenis; John A. Windsor; Sun-Whe Kim; Eduardo de Santibanes; Robert Padbury; Xiao-Ping Chen; Angus C. W. Chan; Sheung-Tat Fan; Palepu Jagannath; Toshihiko Mayumi; Masahiro Yoshida; Fumihiko Miura; Toshio Tsuyuguchi; Takao Itoi; Avinash N. Supe

doi:10.1007/s00534-012-0567-x

TG13 surgical management of acute cholecystitis

Yuichi Yamashita^*, Tadahiro Takada, Steven M. Strasberg, Henry A. Pitt, Dirk J. Gouma, O. James Garden, Markus W. Buechler, Harumi Gomi, Christos Dervenis, John A. Windsor, Sun-Whe Kim, Eduardo de Santibanes, Robert Padbury, Xiao-Ping Chen, Angus C. W. Chan, Sheung-Tat Fan, Palepu Jagannath, Toshihiko Mayumi, Masahiro Yoshida, Fumihiko MiuraToshio Tsuyuguchi, Takao Itoi, Avinash N. Supe

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract / Description of output

Background

Laparoscopic cholecystectomy is now accepted as a surgical procedure for acute cholecystitis when it is performed by an expert surgeon. There are several lines of strong evidence, such as randomized controlled trials (RCTs) and meta-analyses, supporting the introduction of laparoscopic cholecystectomy for patients with acute cholecystitis. The updated Tokyo Guidelines 2013 (TG13) describe the surgical treatment for acute cholecystitis according to the grade of severity, the timing, and the procedure used for cholecystitis in a question-and-answer format using the evidence concerning surgical management of acute cholecystitis.

Methods and materials

Forty-eight publications were selected for a careful examination of their full texts, and the types of surgical management of acute cholecystitis were investigated using this evidence. The items concerning the surgical management of acute cholecystitis were the optimal surgical treatment for acute cholecystitis according to the grade of severity, optimal timing for the cholecystectomy, surgical procedure used for cholecystectomy, optimal timing of the conversion of cholecystectomy from laparoscopic to open surgery, and the complications of laparoscopic cholecystectomy.

Results

There were eight RCTs and four meta-analyses concerning the optimal timing of the cholecystectomy. Consequently, it was found that cholecystectomy is preferable early after admission. There were three RCTs and two meta-analyses concerning the surgical procedure, which concluded that laparoscopic cholecystectomy is preferable to open procedures. Literature concerning the surgical treatment according to the grade of severity could not be quoted, because there have been no publications on this topic. Therefore, the treatment was determined based on the general opinions of professionals.

Conclusion

Surgical management of acute cholecystitis in the updated TG13 is fundamentally the same as in the Tokyo Guidelines 2007 (TG07), and the concept of a critical view of safety and the existence of extreme vasculobiliary injury are added in the text to call the surgeon’s attention to the need to reduce the incidence of bile duct injury.

Original language	English
Pages (from-to)	89-96
Number of pages	8
Journal	Journal of Hepato-Biliary-Pancreatic Sciences
Volume	20
Issue number	1
DOIs	https://doi.org/10.1007/s00534-012-0567-x
Publication status	Published - Jan 2013

Keywords / Materials (for Non-textual outputs)

CHOLECYSTOCHOLEDOCHOLITHIASIS
PREOPERATIVE ENDOSCOPIC SPHINCTEROTOMY
DELAYED LAPAROSCOPIC CHOLECYSTECTOMY
GALLBLADDER
BILE-DUCT STONES
Bile duct injury
RANDOMIZED CONTROLLED-TRIALS
ACUTE BILIARY PANCREATITIS
PERCUTANEOUS CHOLECYSTOSTOMY
Acute cholecystitis
METAANALYSIS
Laparoscopic cholecystectomy
Cholecystostomy
Gallbladder drainage
CONTROLLED CLINICAL-TRIAL

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Yamashita, Y., Takada, T., Strasberg, S. M., Pitt, H. A., Gouma, D. J., Garden, O. J., Buechler, M. W., Gomi, H., Dervenis, C., Windsor, J. A., Kim, S-W., de Santibanes, E., Padbury, R., Chen, X-P., Chan, A. C. W., Fan, S-T., Jagannath, P., Mayumi, T., Yoshida, M., ... Supe, A. N. (2013). TG13 surgical management of acute cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences, 20(1), 89-96. https://doi.org/10.1007/s00534-012-0567-x

@article{f744f0a939374eeabf2e8182be1da59b,

title = "TG13 surgical management of acute cholecystitis",

abstract = "Background Laparoscopic cholecystectomy is now accepted as a surgical procedure for acute cholecystitis when it is performed by an expert surgeon. There are several lines of strong evidence, such as randomized controlled trials (RCTs) and meta-analyses, supporting the introduction of laparoscopic cholecystectomy for patients with acute cholecystitis. The updated Tokyo Guidelines 2013 (TG13) describe the surgical treatment for acute cholecystitis according to the grade of severity, the timing, and the procedure used for cholecystitis in a question-and-answer format using the evidence concerning surgical management of acute cholecystitis. Methods and materials Forty-eight publications were selected for a careful examination of their full texts, and the types of surgical management of acute cholecystitis were investigated using this evidence. The items concerning the surgical management of acute cholecystitis were the optimal surgical treatment for acute cholecystitis according to the grade of severity, optimal timing for the cholecystectomy, surgical procedure used for cholecystectomy, optimal timing of the conversion of cholecystectomy from laparoscopic to open surgery, and the complications of laparoscopic cholecystectomy. Results There were eight RCTs and four meta-analyses concerning the optimal timing of the cholecystectomy. Consequently, it was found that cholecystectomy is preferable early after admission. There were three RCTs and two meta-analyses concerning the surgical procedure, which concluded that laparoscopic cholecystectomy is preferable to open procedures. Literature concerning the surgical treatment according to the grade of severity could not be quoted, because there have been no publications on this topic. Therefore, the treatment was determined based on the general opinions of professionals. Conclusion Surgical management of acute cholecystitis in the updated TG13 is fundamentally the same as in the Tokyo Guidelines 2007 (TG07), and the concept of a critical view of safety and the existence of extreme vasculobiliary injury are added in the text to call the surgeon{\textquoteright}s attention to the need to reduce the incidence of bile duct injury.",

keywords = "CHOLECYSTOCHOLEDOCHOLITHIASIS, PREOPERATIVE ENDOSCOPIC SPHINCTEROTOMY, DELAYED LAPAROSCOPIC CHOLECYSTECTOMY, GALLBLADDER, BILE-DUCT STONES, Bile duct injury, RANDOMIZED CONTROLLED-TRIALS, ACUTE BILIARY PANCREATITIS, PERCUTANEOUS CHOLECYSTOSTOMY, Acute cholecystitis, METAANALYSIS, Laparoscopic cholecystectomy, Cholecystostomy, Gallbladder drainage, CONTROLLED CLINICAL-TRIAL",

author = "Yuichi Yamashita and Tadahiro Takada and Strasberg, {Steven M.} and Pitt, {Henry A.} and Gouma, {Dirk J.} and Garden, {O. James} and Buechler, {Markus W.} and Harumi Gomi and Christos Dervenis and Windsor, {John A.} and Sun-Whe Kim and {de Santibanes}, Eduardo and Robert Padbury and Xiao-Ping Chen and Chan, {Angus C. W.} and Sheung-Tat Fan and Palepu Jagannath and Toshihiko Mayumi and Masahiro Yoshida and Fumihiko Miura and Toshio Tsuyuguchi and Takao Itoi and Supe, {Avinash N.}",

year = "2013",

month = jan,

doi = "10.1007/s00534-012-0567-x",

language = "English",

volume = "20",

pages = "89--96",

journal = "Journal of Hepato-Biliary-Pancreatic Sciences",

issn = "1868-6974",

publisher = "Springer Verlag",

number = "1",

}

Yamashita, Y, Takada, T, Strasberg, SM, Pitt, HA, Gouma, DJ, Garden, OJ, Buechler, MW, Gomi, H, Dervenis, C, Windsor, JA, Kim, S-W, de Santibanes, E, Padbury, R, Chen, X-P, Chan, ACW, Fan, S-T, Jagannath, P, Mayumi, T, Yoshida, M, Miura, F, Tsuyuguchi, T, Itoi, T & Supe, AN 2013, 'TG13 surgical management of acute cholecystitis', Journal of Hepato-Biliary-Pancreatic Sciences, vol. 20, no. 1, pp. 89-96. https://doi.org/10.1007/s00534-012-0567-x

TY - JOUR

T1 - TG13 surgical management of acute cholecystitis

AU - Yamashita, Yuichi

AU - Takada, Tadahiro

AU - Strasberg, Steven M.

AU - Pitt, Henry A.

AU - Gouma, Dirk J.

AU - Garden, O. James

AU - Buechler, Markus W.

AU - Gomi, Harumi

AU - Dervenis, Christos

AU - Windsor, John A.

AU - Kim, Sun-Whe

AU - de Santibanes, Eduardo

AU - Padbury, Robert

AU - Chen, Xiao-Ping

AU - Chan, Angus C. W.

AU - Fan, Sheung-Tat

AU - Jagannath, Palepu

AU - Mayumi, Toshihiko

AU - Yoshida, Masahiro

AU - Miura, Fumihiko

AU - Tsuyuguchi, Toshio

AU - Itoi, Takao

AU - Supe, Avinash N.

PY - 2013/1

Y1 - 2013/1

N2 - Background Laparoscopic cholecystectomy is now accepted as a surgical procedure for acute cholecystitis when it is performed by an expert surgeon. There are several lines of strong evidence, such as randomized controlled trials (RCTs) and meta-analyses, supporting the introduction of laparoscopic cholecystectomy for patients with acute cholecystitis. The updated Tokyo Guidelines 2013 (TG13) describe the surgical treatment for acute cholecystitis according to the grade of severity, the timing, and the procedure used for cholecystitis in a question-and-answer format using the evidence concerning surgical management of acute cholecystitis. Methods and materials Forty-eight publications were selected for a careful examination of their full texts, and the types of surgical management of acute cholecystitis were investigated using this evidence. The items concerning the surgical management of acute cholecystitis were the optimal surgical treatment for acute cholecystitis according to the grade of severity, optimal timing for the cholecystectomy, surgical procedure used for cholecystectomy, optimal timing of the conversion of cholecystectomy from laparoscopic to open surgery, and the complications of laparoscopic cholecystectomy. Results There were eight RCTs and four meta-analyses concerning the optimal timing of the cholecystectomy. Consequently, it was found that cholecystectomy is preferable early after admission. There were three RCTs and two meta-analyses concerning the surgical procedure, which concluded that laparoscopic cholecystectomy is preferable to open procedures. Literature concerning the surgical treatment according to the grade of severity could not be quoted, because there have been no publications on this topic. Therefore, the treatment was determined based on the general opinions of professionals. Conclusion Surgical management of acute cholecystitis in the updated TG13 is fundamentally the same as in the Tokyo Guidelines 2007 (TG07), and the concept of a critical view of safety and the existence of extreme vasculobiliary injury are added in the text to call the surgeon’s attention to the need to reduce the incidence of bile duct injury.

AB - Background Laparoscopic cholecystectomy is now accepted as a surgical procedure for acute cholecystitis when it is performed by an expert surgeon. There are several lines of strong evidence, such as randomized controlled trials (RCTs) and meta-analyses, supporting the introduction of laparoscopic cholecystectomy for patients with acute cholecystitis. The updated Tokyo Guidelines 2013 (TG13) describe the surgical treatment for acute cholecystitis according to the grade of severity, the timing, and the procedure used for cholecystitis in a question-and-answer format using the evidence concerning surgical management of acute cholecystitis. Methods and materials Forty-eight publications were selected for a careful examination of their full texts, and the types of surgical management of acute cholecystitis were investigated using this evidence. The items concerning the surgical management of acute cholecystitis were the optimal surgical treatment for acute cholecystitis according to the grade of severity, optimal timing for the cholecystectomy, surgical procedure used for cholecystectomy, optimal timing of the conversion of cholecystectomy from laparoscopic to open surgery, and the complications of laparoscopic cholecystectomy. Results There were eight RCTs and four meta-analyses concerning the optimal timing of the cholecystectomy. Consequently, it was found that cholecystectomy is preferable early after admission. There were three RCTs and two meta-analyses concerning the surgical procedure, which concluded that laparoscopic cholecystectomy is preferable to open procedures. Literature concerning the surgical treatment according to the grade of severity could not be quoted, because there have been no publications on this topic. Therefore, the treatment was determined based on the general opinions of professionals. Conclusion Surgical management of acute cholecystitis in the updated TG13 is fundamentally the same as in the Tokyo Guidelines 2007 (TG07), and the concept of a critical view of safety and the existence of extreme vasculobiliary injury are added in the text to call the surgeon’s attention to the need to reduce the incidence of bile duct injury.

KW - CHOLECYSTOCHOLEDOCHOLITHIASIS

KW - PREOPERATIVE ENDOSCOPIC SPHINCTEROTOMY

KW - DELAYED LAPAROSCOPIC CHOLECYSTECTOMY

KW - GALLBLADDER

KW - BILE-DUCT STONES

KW - Bile duct injury

KW - RANDOMIZED CONTROLLED-TRIALS

KW - ACUTE BILIARY PANCREATITIS

KW - PERCUTANEOUS CHOLECYSTOSTOMY

KW - Acute cholecystitis

KW - METAANALYSIS

KW - Laparoscopic cholecystectomy

KW - Cholecystostomy

KW - Gallbladder drainage

KW - CONTROLLED CLINICAL-TRIAL

U2 - 10.1007/s00534-012-0567-x

DO - 10.1007/s00534-012-0567-x

M3 - Article

SN - 1868-6974

VL - 20

SP - 89

EP - 96

JO - Journal of Hepato-Biliary-Pancreatic Sciences

JF - Journal of Hepato-Biliary-Pancreatic Sciences

IS - 1

ER -

TG13 surgical management of acute cholecystitis

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