Efficacy of Critical View of Safety in Laparoscopic Cholecystectomy

Abstract

Background: Bile duct injury is the most serious complication of laparoscopic cholecystectomy and misidentification is thought to be the most common cause. CVS is a method of exposure of hepatocystic triangle to minimize this injury. Material and methods: This prospective cohort study was conducted in the Surgical Deptt Hayatabad Medical Complex from 1st August 2018 to 31st July 2020. Results: A total of 100 patients were included with 69 females and 31 male patients with age range of 25-70 years and mean age 37 years. The mean procedure time noted was 45 minutes (35-55mins). CVS was achieved in all patients and documented in the form of video or picture as doublet view of hepatocystic triangle. No BDI was noted. Only 01 patient presented with 20ml collection in the gall bladder fossa which was treated conservatively. Conclusion: Achieving CVS during laparoscopic cholecystectomy is a safe way to minimize BDI. Incarporating CVS into our syllabus and guidelines will promote culture of safe laparoscopic cholecystectomy.