[Indications for classical surgery and celiosurgery. Evaluation].

Laparoscopic cholecystectomy is a novel technique resulting from the advances achieved in video-endoscopy. In the field of uncomplicated gallstones it has in a few years thoroughly altered the surgical indications, taking preference over conventional surgery and ousting extracorporeal lithotripsy. However, the risk of complications must be kept in mind, and the utmost care must be taken in training operators and in recording all cases and their complications. Nowadays, conventional cholecystectomy remains indicated when laparoscopy is contra-indicated, notably in cases with tight peritoneal adhesions precluding laparoscopy.