Critical view of safety faster and safer technique during laparoscopic cholecystectomy?

Incidence of Bile Duct Injuries (BDI) during Laparoscopic Cholecystectomy (LC) is reported to be higher as compared to Open Cholecystectomy. Studies have shown varying degree of success in reducing BDI by using Critical View of Safety (CVS) technique before clipping and cutting any structure. In thi...

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Bibliographic Details
Published in:Pakistan journal of medical sciences 2018-06, Vol.34 (3), p.574-577
Main Authors: Zarin, Mohammad, Khan, Muhammad Asim, Khan, Maryam Alam, Shah, Syed Asad Maroof
Format: Article
Language:English
Subjects:
Abdomen
Bile
Cholecystectomy
Injuries
Laparoscopy
Medical research
Methods
Original
Surgeons
Surgery
Surgical techniques
Teaching hospitals
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Summary:Incidence of Bile Duct Injuries (BDI) during Laparoscopic Cholecystectomy (LC) is reported to be higher as compared to Open Cholecystectomy. Studies have shown varying degree of success in reducing BDI by using Critical View of Safety (CVS) technique before clipping and cutting any structure. In this study, we will see whether CVS technique is faster and safer compared to conventional infundibular technique. This comparative study was conducted on patients who presented to Surgical Out-Patient-Department (OPD) of Khyber Teaching Hospital from July 2015 to June 2016. Total of 438 patients were divided into two groups. Group-A in which LC was done using infundibular while in Group-B, CVS technique was utilized. Two groups were compared for operating time and BDI. The operative time was significantly reduced for LC using CVS technique (50 mins vs. 73 mins). Minor leaks were comparable (0.5% vs. 0.9%) but there was a significant difference in major LEAKS between the two techniques (0.5% vs. 1.4%). Although the "critical view of safety" requires more dissection as compared to infundibular technique, but once learnt and mastered, it is faster and safer identification technique during laparoscopic cholecystectomy.
ISSN:1682-024X
1681-715X
DOI:10.12669/pjms.343.14309