Surgical Endoscopy

, Volume 24, Issue 10, pp 2368–2386 | Cite as

SAGES guidelines for the clinical application of laparoscopic biliary tract surgery

  • D. Wayne Overby
  • Keith N. Apelgren
  • William Richardson
  • Robert FanelliEmail author


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 Surgeons (SAGES) first offered guidelines for the clinical application of laparoscopic cholecystectomy in May 1990. These guidelines have periodically been updated, and the last guideline in November 2002 expanded the guidelines to include all laparoscopic biliary tract surgery.

This document updates and replaces the previous guideline.

The current recommendations are graded and linked to the evidence utilizing the definitions in Appendices 1 and 2.


Guidelines for clinical practice...


Common Bile Duct Laparoscopic Cholecystectomy Acute Cholecystitis Common Bile Duct Stone Bile Duct Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Author Robert D. Fanelli is a board member of New Wave Surgical Corporation, received honoraria from Ethicon Endo-Surgery for speaking/teaching, received honoraria from Boston Scientific Corporation, Inc. for speaking/teaching, and was an independent contractor for Cook Surgical, Inc. Authors Keith N. Apelgren, Keenan Berghoff, Paul Curcillo, David W. Overby, and William S. Richardson have no conflicts of interest or financial ties to disclosure.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • D. Wayne Overby
    • 1
  • Keith N. Apelgren
    • 2
  • William Richardson
    • 3
  • Robert Fanelli
    • 4
    Email author
  1. 1.Department of SurgeryUniversity of North CarolinaChapel HillUSA
  2. 2.Department of SurgeryMichigan State UniversityLansingUSA
  3. 3.Department of SurgeryOchsner Clinic FoundationJeffersonUSA
  4. 4.PittsfieldUSA

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