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NIH
Consensus Conference, Press Release
NATIONAL
INSTITUTES OF HEALTH
NIH Office of Medical Applications of Research
FOR RELEASE: Wednesday, September 16, 1992
Bill Hall (301) 496-4819
NIH
PANEL ENDORSES POPULAR GALLSTONE SURGERY
A panel of experts convened by the National Institutes
of Health today endorsed laparoscopic cholecystectomy
as a safe and effective surgical treatment for gallbladder
removal that is equal to traditional open surgery in
efficacy.
The
14-member panel noted, however, that laparoscopic
cholecystectomy should only be performed by experienced surgeons and
primarily in those patients who have experienced symptoms
of gallstones.
———————————————————————
National
Institutes of Health Consensus Development Conference
Statement September 14-16, 1992
90.
Gallstones and Laparoscopic Cholecystectomy
This statement was originally published as: Gallstones
and Laparoscopic Cholecystectomy, NIH Consens Statement
1992 Sep 14-16;10(3):1-20.
For
making bibliographic reference to the statement in the
electronic form displayed here, it is recommended that
the following format be used: Gallstones and Laparoscopic
Cholecystectomy, NIH Consens Statement Online 1992 Sep
14-16 [cited year month day];10(3):1-20.
———————————————————————
NIH
Consensus Statements are prepared by a nonadvocate,
non-Federal panel of experts, based on (1) presentations
by investigators working in areas relevant to the consensus
questions during a 2-day public session; (2) questions
and statements from conference attendees during open
discussion periods that are part of the public session;
and (3) closed deliberations by the panel during the
remainder of the second day and morning of the third.
This statement is an independent report of the panel
and is not a policy statement of the NIH or the Federal
Government.
The
statement reflects the panel’s assessment of medical
knowledge available at the time the statement was written.
Thus, it provides a "snapshot in time" of
the state of knowledge on the conference topic. When
reading the statement, keep in mind that new knowledge
is inevitably accumulating through medical research.
———————————————————————
Complete
Table of Contents
- Abstract
- Introduction
- Figure
1 - Laparoscopic Cholecystectomy
- Which
Patients With Gallstones Should Be Treated?
- Which
Patients With Gallstones Should Be Treated With Laparoscopic
Cholecystectomy?
- What
Are the Alternative Medical and Surgical Treatments
of Gallstone Disease?
- What
Are the Results of Laparoscopic Cholecystectomy Compared
With Open
- Cholecystectomy and Other Available Treatments?
- How
Should Bile Duct Stones Be Detected and Treated When
Laparoscopic
- Cholecystectomy Is or Is Not Contemplated?
- What
Are the Future Directions for Research in the Prevention
and Management of Gallstone Disease, and in Laparoscopic
Surgery?
- Conclusions
- Consensus
Development Panel
- Speakers
- Planning
Committee
- Conference
Sponsors
- Table
1 - Outcomes of Treatment Modalities for Gallbladder
(GB) Stones
Abstract
The National Institutes of Health Consensus Development
Conference on Gallstones and Laparoscopic Cholecystectomy brought together surgeons, endoscopists, hepatologists,
gastroenterologists, radiologists, and epidemiologists
as well as other health care professionals and the public
to address (1) the circumstances under which patients
with gallstones should be treated; (2) the role of laparoscopic
cholecystectomy in treating patients with gallstones;
(3) the role of alternative medical and surgical treatments
for gallstones; (4) the comparative results of laparoscopic
cholecystectomy with open cholecystectomy and other
available treatments; (5) techniques for detecting and
treating bile duct stones with or without laparoscopic
cholecystectomy; and (6) future directions for research
in prevention and management of gallstone disease and
in laparoscopic cholecystectomy. Following 2 days of
presentations by experts and discussion by the audience,
a consensus panel weighed the evidence and prepared
their consensus statement.
Among
their findings, the panel concluded that (1) most patients
who experience symptoms of gallstones should be treated;
(2) in comparison with open cholecystectomy, laparoscopic
cholecystectomy provides a safe and effective treatment
for most patients with symptomatic gallstones and has
become the treatment of choice for many patients; (3)
patients who are not good candidates for laparoscopic
cholecystectomy include those with generalized peritonitis,
septic shock from cholangitis, severe acute pancreatitis,
end stage cirrhosis of the liver, and gallbladder cancer;
(4) laparoscopic cholecystectomy decreases pain and
disability without increasing mortality and morbidity
and can be performed at an equal or lower cost than
open cholecystectomy; and (5) every effort should be
made to ensure that surgeons performing laparoscopic
cholecystectomy are properly trained and credentialed.
For
the complete NIH study, visit www.nih.gov
and type in Laparoscopic Cholecystectomy
in the search area.
For
a free, no-obligation consultation about your laparoscopic
cholecystectomy surgery case and the complications,
treatment or possible medical malpractice claims, lawsuits
or settlements, contact one of our laparoscopic
cholecystectomy surgery attorneys.
The content provided on this website
about laparoscopic cholecystectomy surgery is provided
by the laparoscopic cholecystectomy
surgery attorneys at the Trief & Olk law firm.
It is intended for informational purposes only and should
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