Highlights
- •AcUte biliary diseases are a common surgical emergency.
- •Source control and protection of biliary structures is critical.
- •OR resources and team expertise should be considered.
Abstract
Acute gallbladder diseases are a common surgical emergency faced by General Surgeons
that can sometimes be quite complex. These complex biliary diseases require multifaceted
and expeditious care, optimized based on hospital facility and operating room (OR)
resources and the expertise of the surgical team. Effective management of biliary
emergencies requires two foundational principles: achieving source control while mitigating
the risk of injury to the biliary tree and its blood supply. This review article highlights
salient literature on seven complex biliary diseases: acute cholecystitis, cholangitis,
Mirizzi syndrome, gallstone ileus with cholecystoenteric fistula, gallstone pancreatitis,
gall bladder cancer, and post-cholecystectomy bile leak.
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Article info
Publication history
Accepted:
March 16,
2023
Received in revised form:
February 26,
2023
Received:
November 10,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Inc.
