Risk factors and outcomes of bailout procedures during laparoscopic cholecystectomy for acute cholecystitis: the BOLAC study - Report - MDSpire

Risk factors and outcomes of bailout procedures during laparoscopic cholecystectomy for acute cholecystitis: the BOLAC study

  • By

  • Marco Ceresoli

  • Francesca Graziano

  • Niccolò Allievi

  • Luca Ansaloni

  • Matelda Bencini

  • Ilaria Benzoni

  • Pietro Bisagni

  • Luigi Boccia

  • Bruno Branciforte

  • Diletta Cassini

  • Daniele Del Fabbro

  • Michele Fogliata

  • Marco Garatti

  • Luca Ghirardelli

  • Antonio Guadalaxara

  • Guglielmo Guerrazzi

  • Marco Lotti

  • Diego Mariani

  • Michele Marini

  • Enrico Pinotti

  • Andrea Pisani Ceretti

  • Eliana Spada

  • Andrea Spota

  • Nereo Vettoretto

  • Luca Nespoli

  • July 15, 2026

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Clinical Report: Identifying Risk Factors and Outcomes of Emergency Interventions in Laparoscopic Cholecystectomy for Acute Cholecystitis: Insights from the BOLAC Study

Overview

The BOLAC study investigates the incidence and risk factors for bailout procedures during laparoscopic cholecystectomy for acute cholecystitis across 22 hospitals in Northern Italy.

Background

Acute cholecystitis is a common reason for emergency surgical consultation, with early laparoscopic cholecystectomy being the preferred treatment. However, challenging cases characterized by severe inflammation or anatomical distortion often necessitate bailout procedures.

Data Highlights

No numerical data available in the provided material.

Key Findings

  • The BOLAC study is a multicenter retrospective cohort study involving 22 hospitals in Northern Italy.
  • Bailout procedures are defined as any deviation from standard laparoscopic cholecystectomy.
  • Factors influencing the decision to perform a bailout procedure include patient-specific pathology and surgeon experience.
  • The study aims to identify independent predictors of bailout procedures and evaluate postoperative outcomes.

Clinical Implications

Surgeons should be aware of the potential risks associated with bailout procedures in laparoscopic cholecystectomy for acute cholecystitis.

Conclusion

The BOLAC study addresses gaps in understanding the incidence and outcomes of bailout procedures in laparoscopic cholecystectomy for acute cholecystitis.

Related Resources & Content

  1. Surgical Endoscopy, 2021 -- Recurrent Biliary Admissions Increase Challenges in Elective Laparoscopic Cholecystectomy
  2. Surgical Endoscopy, 2026 -- Preoperative difficulty assessment of laparoscopic cholecystectomy after treatment for choledocholithiasis
  3. Obesity Surgery, 2019 -- Identifying Risk Factors for Cholecystectomy Following Laparoscopic Roux-En-Y Gastric Bypass Surgery
  4. Surgical Endoscopy, 2022 -- Comparative Analysis of Morbidity Rates in Emergency versus Elective Cholecystectomy: A Retrospective Cohort Study
  5. Tokyo Guidelines 2018, 2018 -- flowchart for the management of acute cholecystitis
  6. 2024 -- Validation of a surgical difficulty grading system in laparoscopic cholecystectomy for acute cholecystitis
  7. Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis - Okamoto - 2018 - Journal of Hepato-Biliary-Pancreatic Sciences - Wiley Online Library
  8. The optimal timing of laparoscopic cholecystectomy for acute cholecystitis according to symptom onset and patient admission: a meta-analysis of randomised controlled trials
  9. Validation of a surgical difficulty grading system in laparoscopic cholecystectomy for acute cholecystitis - Asai - 2024 - Journal of Hepato-Biliary-Pancreatic Sciences - Wiley Online Library

Original Source(s)

Risk factors and outcomes of bailout procedures during laparoscopic cholecystectomy for acute cholecystitis: the BOLAC study

  • by Marco Ceresoli, Francesca Graziano, Niccolò Allievi, Luca Ansaloni, Matelda Bencini, Ilaria Benzoni, Pietro Bisagni, Luigi Boccia, Bruno Branciforte, Diletta Cassini, Daniele Del Fabbro, Michele Fogliata, Marco Garatti, Luca Ghirardelli, Antonio Guadalaxara, Guglielmo Guerrazzi, Marco Lotti, Diego Mariani, Michele Marini, Enrico Pinotti, Andrea Pisani Ceretti, Eliana Spada, Andrea Spota, Nereo Vettoretto, Luca Nespoli

  • July 15, 2026

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