SAGES guidelines for the clinical application of laparoscopic biliary tract surgery

@article{Overby2010SAGESGF,
  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},
  year={2010},
  volume={24},
  pages={2368-2386}
}
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… 

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References

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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.

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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.

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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.

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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.

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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.

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