SAGES guidelines for the clinical application of laparoscopic biliary tract surgery

  title={SAGES guidelines for the clinical application of laparoscopic biliary tract surgery},
  author={David Wayne Overby and Keith N. Apelgren and William S. Richardson and Robert D. Fanelli},
  journal={Surgical Endoscopy},
Laparoscopic cholecystectomy (LC) has become the standard of care for patients requiring removal of the gallbladder. In 1992, a National Institutes of Health (NIH) consensus development conference concluded that ‘‘laparoscopic cholecystectomy provides a safe and effective treatment for most patients with symptomatic gallstones, laparoscopic cholecystectomy appears to have become the procedure of choice for many of these patients’’ [1]. The Society of American Gastrointestinal and Endoscopic… 

Laparoscopic Cholecystectomy in Day Surgery

DLC seems to be a safe and effective intervention in selected patients (with no or minimal systemic disease and within easy reach of the hospital) with symptomatic gallstone disease.

Laparoscopic cholecystectomy: consensus conference-based guidelines

In 2012, several Italian surgical societies decided to revisit the clinical recommendations for the role of laparoscopy in the treatment of gallbladder diseases in adults, to update and supplement the existing guidelines with recommendations that reflect what is known and what constitutes good practice concerning LC.

Laparoscopy and Acute Cholecystitis: The Evidence

The laparoscopic approach for acute cholecystitis has gained wide acceptance over the years and today, the laparoscope can be considered the treatment of choice for acute CholecyStitis.

Evidence-based surgery for laparoscopic cholecystectomy

Surgical Technique and Difficult Situations from Francesco Crafa

The most common biliary tract procedure currently performed is the laparoscopic cholecystectomy, and a number of diverse factors including biliary anatomy and disease severity may render LC challenging, especially to the surgeon ascending the learning curve.

Surgical trends in the management of acute cholecystitis during pregnancy

This nationwide study exhibits significant trends favoring surgical management of acute cholecystitis during pregnancy, as well as their impact on clinical outcomes during pregnancy.

Surgical management of acute cholecystitis

There is not enough evidence to support the routine use of robotic surgery, single-incision laparoscopic cholecystectomy or natural orifice transluminal endoscopic surgery (NOTES) in the treatment of acute choleCystitis.

Why are we still using antibiotic prophylaxis in elective laparoscopic cholecystectomy for the low-risk groups? a review of literature

In LC the incision site is smaller and due to the use of the trocar, wound exposure and contamination are less common as compared to the OC resulting in a significant reduction in SSI.



A survey of the timing and approach to the surgical management of patients with acute cholecystitis in Japanese hospitals.

Assessment of the current practice of laparoscopic cholecystectomy for AC among Japanese general surgeons found that the use of this treatment remains suboptimal in Japan.

The optimal timing of laparoscopic cholecystectomy in mild gallstone pancreatitis.

The data suggest that hospital stay can be shortened with no increased complication rate if patients with mild biliary pancreatitis proceed to LC as soon as serum amylase is decreasing and abdominal tenderness is improving.

Surgical treatment of patients with acute cholecystitis: Tokyo Guidelines

The timing of and the optimal surgical treatment of acute cholecystitis are described in a question-and-answer format and the timing and approach to the surgical management in patients with acute CholecyStitis is still a matter of controversy.

One Thousand Laparoscopic Cholecystectomies in a Single Surgical Unit Using the “Critical View of Safety” Technique

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.

Laparoscopic Cholecystectomy: a Safe Approach for Management of Acute Cholecystitis

Laroscopic cholecystectomy can be safely performed without routine IOC when ERCP is performed preoperatively on the basis of specific indications and meticulous dissection and good exposure of Calot's triangle may prevent bile duct injuries.

Single-incision laparoscopic surgery for cholecystectomy: an evolving technique

This article reports the authors’ method of performing SILS cholecystectomy, with carefully placed sutures used to puppeteer the gallbladder and thus aid retraction, and concludes single-incision laparoscopic surgery is a feasible way to perform chole cystectomy.

Does the complication rate increase in laparoscopic cholecystectomy for acute cholecystitis?

LC appears to be a reliable, safe, and effective treatment modality for AC and CC, based on complication and conversion rates to open surgery.

Guidelines on the management of common bile duct stones (CBDS)

Clinicians are now faced with a number of potentially valid options for managing patients with suspected CBDS, and the following guidelines have been written.