Assessment of efficacy of critical view of safety (CVS) in laparoscopic cholecystectomy in avoiding the occurrence of bile duct injury
Author(s): Dr. Ajay Kumar
Abstract:Background: Diseases of the gallbladder commonly manifest as gallstones, gallbladder inflammatory conditions and gallbladder cancer. Cholecystectomy has been gold standard surgical treatment of Cholelithiasis and cholecystitis. The critical view of safety (CVS) is a method of target identification, the targets being the cystic duct and the cystic artery. Hence; the present study was undertaken for assessing the efficacy of critical view of safety in laparoscopic cholecystectomy in avoiding the occurrence of bile duct injury.
Materials & methods: A total of 75 consecutive patients of gallbladder disease were included in the study. Complete demographic details of all the patients were obtained. Hematological and biochemical profile of all the patients was done preoperatively. All the procedures were performed under the hands of skilled and experienced surgeons. Post-operative assessment of all the patients was done.
Results: Aberrant anatomy was found to be present in 1 patient, where as it was absent in 49 patients. Critical view of safety was achieved in 100 percent of the patients of the present study. Aberrant anatomy was encountered only in two cases case. Those cases were converted into open cholecystectomy.
Conclusion: Critical view of safety method of ductal identification is an effective technique.