Erschienen in:
01.05.2015 | Review Article
Laparoscopic cholecystectomy: consensus conference-based guidelines
verfasst von:
Ferdinando Agresta, Fabio Cesare Campanile, Nereo Vettoretto, Gianfranco Silecchia, Carlo Bergamini, Pietro Maida, Pietro Lombari, Piero Narilli, Domenico Marchi, Alessandro Carrara, Maria Grazia Esposito, Stefania Fiume, Giuseppe Miranda, Simona Barlera, Marina Davoli, on the behalf of The Italian Surgical Societies Working Group on the behalf of The Italian Surgical Societies Working Group
Erschienen in:
Langenbeck's Archives of Surgery
|
Ausgabe 4/2015
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Abstract
Introduction
Laparoscopic 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 that has followed it. In 1995, the EAES published its consensus statement on laparoscopic cholecystectomy in which seven main questions were answered, according to the available evidence. During the following 20 years, there have been several additional guidelines on LC, mainly focused on some particular aspect, such as emergency or concomitant biliary tract surgery.
Methods
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.