Patel PP, Daly SC, Velasco JM. Training vs practice: A tale of opposition in acute cholecystitis. World J Hepatol 2015; 7(23): 2470-2473 [PMID: 26483868 DOI: 10.4254/wjh.v7.i23.2470]
Corresponding Author of This Article
Jose M Velasco, MD, FACS, FCCM, Department of General Surgery, Rush University Medical Center, 1735 West Harrison Street, Suite 810, Chicago, IL 60612, United States. jose_velasco@rush.edu
Research Domain of This Article
Surgery
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Hepatol. Oct 18, 2015; 7(23): 2470-2473 Published online Oct 18, 2015. doi: 10.4254/wjh.v7.i23.2470
Training vs practice: A tale of opposition in acute cholecystitis
Purvi P Patel, Shaun C Daly, Jose M Velasco
Purvi P Patel, Shaun C Daly, Jose M Velasco, Department of General Surgery, Rush University Medical Center, Chicago, IL 60612, United States
Author contributions: Patel PP, Daly SC and Velasco JM contributed equally to this work.
Conflict-of-interest statement: The authors disclose no conflict of interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jose M Velasco, MD, FACS, FCCM, Department of General Surgery, Rush University Medical Center, 1735 West Harrison Street, Suite 810, Chicago, IL 60612, United States. jose_velasco@rush.edu
Telephone: +1-312-9425000 Fax: +1-312-5632080
Received: April 27, 2015 Peer-review started: May 1, 2015 First decision: July 6, 2015 Revised: September 1, 2015 Accepted: September 7, 2015 Article in press: September 8, 2015 Published online: October 18, 2015 Processing time: 175 Days and 5.7 Hours
Core Tip
Core tip: General surgeons commonly perform laparoscopic cholecystectomy for acute cholecystitis; however, current practices in biliary surgery often vary regarding timing, intraoperative biliary imaging, and management of bile duct stones. In spite of growing evidence in the literature defining best practice and societal guidelines supporting early cholecystectomy, intraoperative cholangiogram and ultrasound, and laparoscopic bile duct exploration utilizing laparoscopic ultrasound and performing common bile duct exploration, an overwhelming number of surgeons still perform delayed operations, rarely perform intraoperative imaging and defer treatment of common bile duct stones. Efforts should be made to adopt the evidence-based data supported in the literature.
