Laparoscopic cholecystectomy: consensus conference-based guidelines

@article{Agresta2015LaparoscopicCC,
  title={Laparoscopic cholecystectomy: consensus conference-based guidelines},
  author={Ferdinando Agresta and Fabio Cesare Campanile and Nereo Vettoretto and Gianfranco Silecchia and Carlo Bergamini and Pietro Maida and Pietro Lombari and Piero Narilli and Domenico Marchi and Alessandro Carrara and Maria Grazia Esposito and Stefania Fiume and Giuseppe Miranda and Simona Barlera and Marina Davoli and on behalf of members of the iERAS Group},
  journal={Langenbeck's Archives of Surgery},
  year={2015},
  volume={400},
  pages={429-453}
}
IntroductionLaparoscopic cholecystectomy (LC) is the gold standard technique for gallbladder diseases in both acute and elective surgery. Nevertheless, reports from national surveys still seem to represent some doubts regarding its diffusion. There is neither a wide consensus on its indications nor on its possible related morbidity. On the other hand, more than 25 years have passed since the introduction of LC, and we have all witnessed the exponential growth of knowledge, skill and technology… Expand
Laparoscopic Cholecystectomy : What has changed Over the Last Three Decades ?
  • 2016
The surgical management of gallstone disease has undergone significant changes during the last three decades starting from open cholecystectomy to laparoscopic cholecystectomy and other minimallyExpand
Two-Incision Laparoscopic Cholecystectomy: Reducing Scars in a Simple Way.
TLDR
TILC is feasible, safe, and with good aesthetic result, using the same instruments of LC, without increasing operative time. Expand
Is It Safe to Recommend Cholecystectomy Whenever Gallstones Develop After Bariatric Surgery?
TLDR
Compared with Non-Bar patients, LC in Post- Bar patients showed not only similar morbimortality, readmissions, and conversions but also even a higher same-day discharge rate and a trend to lower operative times. Expand
Current status of laparoscopic colorectal surgery in the emergency setting
TLDR
It is generally concluded that in a proper setting, laparoscopic colorectal emergency surgery is feasible, effective, safe and beneficial for patients to be a part of a common surgical practice, as long as adequate training is obtained and proper preparation observed when more advanced procedures are attempted in critically patients. Expand
Indications of cholecystectomy in gallstone disease
  • M. Lamberts
  • Medicine
  • Current opinion in gastroenterology
  • 2018
TLDR
In patients with mild-to-moderate complicated symptomatic gallstone disease, same-admission cholecystectomy reduces the risk of recurrent complications and prevents unnecessary choleCystectomies. Expand
Intraoperative cholangiography during laparoscopic cholecystectomy. Should we follow the recommendations of the current guidelines?
since it was proposed by Strasberg in 1995, the concept of Critical View of Safety (CVS) has progressively gained acceptance worldwide, until it became the most recommended method for preventingExpand
Biliary Leakage after Laparoscopic Cholecystectomy versus Open Cholecystectomy
TLDR
The present systematic review and meta-analysis showed that the laparoscopic cholecystectomy significantly increased the risk of bile leak compared to open choleCystectomy, and the importance of early identification of patients, at high risk ofbile leak, as it may allow specific measures or conversion to open CholecyStectomy. Expand
Routine drain or no drain after laparoscopic cholecystectomy for acute cholecystitis.
TLDR
The available data suggests that acute cholecystitis is not an indication for routine drain placement after LC, however, these results must be interpreted with caution due to the limitations of the included studies. Expand
Difficult laparoscopic cholecystectomy and preoperative predictive factors
TLDR
There was a statistically significant association between WBC count and fibrinogen level and difficult LC and significant differences were noted among the two groups for irregular or absent wall, pericholecystic fluid, fat hyperdensity, thickening of wall > 4 mm and hydrops. Expand
WSES guidelines on acute calculous cholecystitis Ansaloni , L . 2016-06-14
Acute calculus cholecystitis is a very common disease with several area of uncertainty. The World Society of Emergency Surgery developed extensive guidelines in order to cover grey areas. TheExpand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 315 REFERENCES
Laparoscopic cholecystectomy: early and late complications and their treatment
TLDR
Careful selection of patients, the knowledge of typical procedure-related complications, and their best treatment are the key points for a safe laparosopic cholecystectomy. Expand
TG13 surgical management of acute cholecystitis
TLDR
Surgical management of acute cholecystitis in the updated Tokyo Guidelines 2013 is fundamentally the same as in the Tokyo Guidelines 2007 (TG07), and the concept of a critical view of safety and the existence of extreme vasculobiliary injury are added in the text to call the surgeon’s attention to the need to reduce the incidence of bile duct injury. Expand
SAGES guidelines for the clinical application of laparoscopic biliary tract surgery
TLDR
This document updates and replaces the previous guideline on laparoscopic cholecystectomy, and the current recommendations are graded and linked to the evidence utilizing the definitions in Appendices 1 and 2. Expand
One Thousand Laparoscopic Cholecystectomies in a Single Surgical Unit Using the “Critical View of Safety” Technique
TLDR
CVS clarifies the relations of the anatomic structures that should be divided, and therefore, it should be ideally and routinely applied in all LCs because of its highly protective role against bile duct injuries. Expand
Treatment and surveillance of polypoid lesions of the gallbladder in the United Kingdom.
TLDR
The survey showed considerable heterogeneity among surgeons regarding treatment and surveillance protocols for gallbladder polyps, and national guidelines would facilitate standardization, the formulation of an appropriate algorithm and appropriate use of resources. Expand
Laparoscopic Cholecystectomy for Acute Cholecystitis: Is It Really Safe?
TLDR
LC for inflamed gallbladder has a higher conversion rate than LC for routine symptomatic gallbladders and if successfully performed, it has definite benefit for the patient in terms of better postoperative recovery, and the risk of CBD injury is significantly higher. Expand
Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)
TLDR
Because BDI is a rare event, it is difficult to generate evidence for prevention, diagnosis, or the management of BDI from clinical studies, Nevertheless, an international expert panel has formulated recommendations. Expand
Is there still any role for minilaparoscopic-cholecystectomy? A general surgeons’ last five years experience over 932 cases
TLDR
The present experience shows that the 5 mm-three trocars MLC is a safe, easy, effective and reproducible approach to gallbladder diseases, which makes the technique a challenging alternative to conventional laparoscopy both in the acute and the scheduled setting. Expand
Laparoscopic cholecystectomy for elderly patients: gold standard for golden years?
TLDR
The results of LC in patients aged 65 to 69 years are comparable with those previously reported in younger patients, and increased technical experience with LC favorably affected outcomes over time. Expand
...
1
2
3
4
5
...