Langenbeck's Archives of Surgery

, Volume 400, Issue 4, pp 429–453 | Cite as

Laparoscopic cholecystectomy: consensus conference-based guidelines

  • 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
Review Article



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.


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.


Cholecystectomy Laparoscopy Guidelines Consensus conference 



We gratefully acknowledge the contributions of Mrs. J. Hanney, from England, for her linguistic review of the manuscript. We also express our gratitude to all the Presidents of the Scientific Societies that endorsed the Consensus and took part to the “Italian Surgical Societies Working Group”.

Author Contributions

Dr Agresta, Campanile and Vettoretto prepared the search strategy, were equally responsible for reviewing all the drafts of the evidence reports and for the final article.

Dr Agresta was also responsible for the organization and development of the Consensus Conference.

Dr Campanile and Vettoretto were also the Topic Editors for the acute cholecystitis and new technologies respectively, Dr. Carrara contributed to the evidence report about acute cholecystitis,

Dr Silecchia was the Topic Editor for the indications to surgical treatment, Dr. Fiume contributed to the evidence report,

Dr Bergamini was the Topic Editor for the common bile duct stones,

Dr Maida was the Topic Editor for technical aspects, Dr. Miranda contributed to the evidence report.

Dr Narilli was the Topic Editor for complications.

Dr Lombari was the Topic Editor for the outcome and day-surgery,

Dr Marchi was the Topic Editor for the training and learning curve, Dr. Esposito contributed to the evidence report.

Dr Barlera and Davoli, epidemiologists, reviewed the methodological aspects and supported the Panel during all the steps of the consensus conference.

All authors approved the final article.

Conflicts of interest

Drs. Agresta F, Campanile FC; Vettoretto N; Silecchia G; Bergamini C; Maida P; Lombari P; Narilli P; Marchi D; Carrara A; Esposito MG; Fiume S; Miranda G; Barlera S and Davoli M have no conflicts of interest or financial ties to disclose

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.


The Consensus Conference was held under the auspices of EAES. We are very grateful to the EAES Executive Board for the recognition and trust, and to Prof. Mario Morino, President of the EAES, for his continuous support

For the Young Chapter of the A.C.O.I.

Ricciardelli L (President); Belli F; Brandara F; Cantore F; Capizzi D; Carlomagno N;Carrara A; Ciccorti L; Cillara N; Esposito MG; Feroci F; Fiume S; Gilio F; Guercioni G; Indiani D; Lazzaro L; Luridiana G; Mannino L;Maglione V.; Masci E; Miranda G; Motter M; Nigro F; Perna F; Piccolo D; Prando D; Rizzuto A; Sallustio P; Serventi F; Vadalà S; Virzì C;.


M. Rasi—for the IPASVIthe Italian National Federation Nursing Council;

A. Arru—for the SIMEUItalian Society of Emergency Medicine;

M. Mutignani—for the SIEDItalian Society of Digestive Endoscopy;

M. Scaglione—for the SIRMItalian Society of Radiology;

G. Scaramuzza—for CittadinanzattivaCitizenship

The Italian Surgical Societies Working Group: Associazione Chirurghi Ospedalieri Italiani (ACOI)—Italian Society of Hospital Surgeons; Società Italiana Chirurgia Endoscopica e nuove tecnologie (SICE)—Italian Society of Endoscopic Surgery, the Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP)—The Italian Private Hospitals’ Surgical Society, Fondazione Chirurgo e Cittadino (FCC)—Surgeon and Citizen Foundation


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Ferdinando Agresta
    • 1
  • Fabio Cesare Campanile
    • 2
  • Nereo Vettoretto
    • 3
  • Gianfranco Silecchia
    • 4
  • Carlo Bergamini
    • 5
  • Pietro Maida
    • 6
  • Pietro Lombari
    • 7
  • Piero Narilli
    • 8
  • Domenico Marchi
    • 9
  • Alessandro Carrara
    • 10
  • Maria Grazia Esposito
    • 6
  • Stefania Fiume
    • 11
  • Giuseppe Miranda
    • 12
  • Simona Barlera
    • 13
  • Marina Davoli
    • 14
  • on the behalf of The Italian Surgical Societies Working Group on the behalf of The Italian Surgical Societies Working Group
  1. 1.Department of SurgeryPresidio Ospedaliero di Adria (RO)AdriaItaly
  2. 2.Division of Surgery, Ospedale Civita Castellana, ASL VTCivita CastellanaItaly
  3. 3.Az. Osp. M. Mellini, General and Vascular SurgeryBresciaItaly
  4. 4.Division of general Surgery & Bariatric Center of ExcellenceSapienza University of Rome - School of Pharmacy and MedicineLatinaItaly
  5. 5.Department of General and Emergency SurgeryUniversity Hospital of CareggiFlorenceItaly
  6. 6.Evangelic Hospital Villa Betania, General, Oncologic and Advanced LaparoscopicNaplesItaly
  7. 7.A.O.R.N. Caserta, Chirurgia generale oncologicaCasertaItaly
  8. 8.Nuova Itor General Hospital, General SurgeryRomeItaly
  9. 9.New S. Agostino Estense Hospital N.O.C.S.A.E. Baggiovara, General Surgery ModenaModenaItaly
  10. 10.S. Chiara Hospital, General Surgery ITrentoItaly
  11. 11.A.O. Brotzu, Division of Emergency SurgeryCagliariItaly
  12. 12.UOC Chirurgia Generale e d’UrgenzaUrbinoItaly
  13. 13.Laboratory of Medical Statistics, Department of Cardiovascular Research, IRCCS Istituto di Ricerche Farmacologiche Mario NegriMilanItaly
  14. 14.Department of EpidemiologyLazio Regional Health ServiceRomeItaly

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