Vol. 6, Issue 1, Part A (2022)

Background: Laparoscopic cholecystectomy, a gold standard in the treatment of cholelithiasis, is the most common procedure in general surgery. Laparoscopic cholecystectomy is associated with an increased rate of Bile duct injuries. Bile duct injury carries a lot of morbidities, occasional mortality, and low quality of life. Bile duct injuries are due to inflammatory adhesions in Calot’s triangle, anatomical variations, and the surgeon’s faulty perception. Misidentification of the biliary ductal system is the leading cause of bile duct injuries. To avoid this misidentification Strasberg introduced a safety protocol named “Critical View of Safety”. Following the Critical view of safety, the rate of bile duct injuries has been reduced.

Aims and Objectives: To study the efficacy and utility of the Critical View of safety in Laparoscopic Cholecystectomy in avoiding bile duct injuries. To compare the efficacy of the Critical view of safety with the infundibular technique.

Materials and Methods: A prospective study of the efficacy of the Critical View of safety in Laparoscopic Cholecystectomy was done in 50 cases. The results were compared with the procedure by conventional Infundibular technique.

Results: Critical View of safety was achieved in 47 (94%) of cases without BDI.

Conclusion: implementation Critical View of Safety is useful in avoiding Bile duct injuries.