Abstract

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).

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