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Case Studies | Medical Surgical | India | Volume 12 Issue 12, December 2023
Achievement of the Critical View of Safety in Laparoscopic Cholecystectomy & Its Outcome in MGM Medical College, Aurangabad
Dr. Sanjeev Kumar [9] | Dr. A.Q Khan | Dr. Pravin R Suryawanshi [2]
Abstract: Laparoscopic cholecystectomy (LC), a gold standard in treatment of Cholelithiasis is a common procedure in general surgery. However, when this was introduced as an alternative to conventional cholecystectomy, incidences of biliary injuries began to rise. Strasberg et al, in 1995 introduced the concept of ?critical view of safety? (CVS)- a method for ductal identification. It is a concept based on extended dissection and delineation of all structures in the hepatocytic triangle. It was formulated after reviewing the injuries occurring in Laparoscopic cholecystectomy. CVS should be achieved every time, by clearing the hepato-cystic triangle of all fat and fibrous tissues both in its ventral and dorsal aspects and by dissecting the entire infundibulum off the liver bed till only two structures are seen entering the Gall Bladder. Recent evidence emerging from case studies suggest that in large numbers of patients in whom the CVS was used had no biliary injuries due to misidentification. Hence is being used as standard of care in laparoscopic cholecystectomies
Keywords: CVS, Cholelithiasis, Laparoscopic cholecystectomy, Gall bladder
Edition: Volume 12 Issue 12, December 2023,
Pages: 1357 - 1372