Bile spillage should be avoided in elective cholecystectomy

We read with great interest the article entitled “Adverse Outcomes After Bile Spillage in Incidental Gallbladder Cancers: A Population-based Study” by Michael J. Horkoff et al., which was e-published the 13th of April, 2019 in Annals of Surgery (1). This retrospective study was conducted by the University of Calgary and included all cholecystectomies performed from 2001–2015 in the region of Alberta, Canada. The aim of the study was to evaluate if bile spillage during the index operation for presumed benign gallstone disease would affect survival in the group of patients found to have incidental gallbladder cancer.