Prevention of bile spillage during cholecystectomy: current evidences and considerations

We really appreciated Geramizadeh, “Bile spillage and incidental gall bladder adenocarcinoma”, and Sandstrom et al., “Bile spillage should be avoided in elective cholecystectomy” (1,2). Both papers have been recently published in HepatoBiliary Surgery and Nutrition, 2019 (1,2). Starting from an analysis of the recent paper by Horkoff et al. “Adverse outcomes after bile spillage in incidental gall bladder cancer” in Annals of Surgery April 2019, they introduced a comprehensive discussion about epidemiology, diagnosis, therapy, prognostic factors and outcomes of incidental gallbladder cancer (1-3). They analyzed the possible risks related to bile spillage after cholecystectomy, in particular (1,2).