부산대학교 도서관

In type 3 GBP (generalized biliary peritonitis), the patient will always need urgent surgical treatment, due to peritoneal irritation. Two patients with endoscopic common bile duct stenting and one patient were surgically explored for cystic artery bleed secondary due to clip dislodgement, although the technique (laparoscopic vs. open) was not clearly stated. Dear Sir, We sincerely applaud the work done by Krishnamurthy et al., in which they report the single-centre experience for gallbladder perforation (GBP) management.[[1]] A revision of the available literature demonstrates an important lack of cohort studies, many still recommending an open cholecystectomy approach.[[2]] There is a need for updated studies evaluating treatment approach options, to suggest evidence-based algorithms, as the current guidelines do not specify GBP management.[[3]] The current study provides details of clinical presentation, comorbidities, pre-operative characteristics, surgical procedure, intra-operative findings, need for further interventions, and post-operative complications. [Extracted from the article]