Author(s):
1. Zafar Ullah Khan:
Department of General Surgery, Bolan Medical College, Quett a, Pakistan; Address: 10-9/3247, Arbab Barkat Ali Road, Deba, Quett a
Abstract:
Although laparoscopic cholecystectomy has brought a huge advancement in the fi eld of biliary surgery in terms of excellent recovery and early return to work, it has a higher risk of biliary ductal and vascular injuries associated with life-threatening complications such as sepsis, multiorgan failure, biliary cirrhosis, portal hypertension and are associated with reduced long term survival and quality of life. Th e risk of these injuries has decreased over the years but it is still almost twice that of open technique. Mis-identifi cation of common hepatic duct and bile duct as cystic duct is the commonest cause of biliary injury. Th e concept of obtaining a Critical View of Safety (CVS) was introduced in 1995 in order to correctly defi ne structures in the hepatocystic triangle in an ef ort to mitigate biliary ductal and vascular injuries. Th e Society of American Gastroenterologists and Endoscopic Surgeons (SAGES) formed the Safe Cholecystectomy Task Force in 2014 to promote the Culture of Safety in Cholecystectomy (COSIC) including CVS, in a further at empt to prevent such injuries. In this article we shall review the mechanisms of biliary injury and the principles of safe cholecystectomy devised by the SAGES.
Page(s):
121-125
DOI:
DOI not available
Published:
Journal: Pakistan Journal of Surgery, Volume: 38, Issue: 3, Year: 2022
Keywords:
Laparoscopic cholecystectomy
,
Subtotal cholecystectomy
,
hepatocystic triangle
,
critical view of safety
,
Safe cholecystectomy
References:
References are not available for this document.
Citations
Citations are not available for this document.