Evaluation of Feasibility and Efficacy between the Critical View of Safety and Infundibula Technique in Laparoscopic Cholecystectomy A Single-Centre Experience
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Abstract
Laparoscopic cholecystectomy (LC) is one of the most commonly performed procedures worldwide. The critical view of safety (CVS) technique is a method to standardize the procedure and prevent bile duct injuries. We compared this technique with the widely used infundibula technique to assess its feasibility and efficacy in patients undergoing LC. A cohort of 224 consecutive patients undergoing LC were randomly divided into two groups: Group A with CVS technique and Group B with infundibula technique, having 112 patients each. Preoperative, intraoperative, and postoperative parameters were compared for both groups. Both groups had a comparable population in terms of age, gender, and preoperative parameters. CVS group had lesser operative time (p-value: 0.045) and blood loss (p-value: 0.019) compared to the infundibula group. The postoperative complications were similar in both groups. We did not find any bile duct injury in the cohort. The rate of attainability of CVS was 92.8%.CONCLUSION: In our observation, CVS is a feasible and more effective method compared to infundibula technique in LC. Apart from being known for its safety, this study expounds the advantages of implementing the CVS method in LC.
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A, Wang N, Tran M. Minimally invasive surgery: early concepts to gold standards. Br J Hosp Med (Lond). 2019;80(9):494-495.
N, Catena F, Memeo R, et al. 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy. World J Emerg Surg. 2021;16(1):30.
R, Cortina CS, Kornfield H, et al. Bile duct injuries: a contemporary survey of surgeon attitudes and experiences. Surg Endosc. 2020;34(7):3079-3084.
M, Deziel DJ, Telem DA, et al. Safe Cholecystectomy Multi-society Practice Guideline and State of the Art Consensus Conference on Prevention of Bile Duct Injury During Cholecystectomy. Ann Surg. 2020;272(1):3-23.
M, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg. 1995;180(1):101-125.
SM. A three-step conceptual roadmap for avoiding bile duct injury in laparoscopic cholecystectomy: an invited perspective review. J Hepatobiliary Pancreat Sci. 2019;26(4):123-127.
T, Nguyen B, Shih A, Smith B, Hohmann S. Use of laparoscopy in general surgical operations at academic centers. Surg Obes Relat Dis. 2013;9(1):15-20.
M, Hodson J, Ng HJ, et al. Predicting the difficult laparoscopic cholecystectomy: development and validation of a pre-operative risk score using an objective operative difficulty grading system. Surg Endosc. 2020;34(10):4549-4561.
A, Kapoor VK. Asymptomatic Gallstones (AsGS) -To Treat or Not to? Indian J Surg. 2012 Feb;74(1):4-12.
N, Saronni C, Harbi A, Balestra L, Taglietti L, Giovanetti M. Critical view of safety during laparoscopic cholecystectomy. JSLS. 2011 Jul-Sep;15(3):322-5.
M, Khan MA, Khan MA, Shah SAM. Critical view of safety faster and safer technique during laparoscopic cholecystectomy? Pak J Med Sci. 2018 May-Jun;34(3):574-577.
R, Wang YL, Wu XC, et al. Hidden blood loss and the influencing factors after laparoscopic cholecystectomy. ANZ J Surg. 2020;90(1-2):103-108.
T, Eskesen TG, Mesar T, et al. Bile Spillage as a Risk Factor for Surgical Site Infection after Laparoscopic Cholecystectomy: A Prospective Study of 1,001 Patients. J Am Coll Surg. 2018;226(6):1030-1035.
S, Kumar D, Garai D, Khamrui S. Dropped Gallstone-Related Right Subhepatic and Parietal Wall Abscess: A Rare Complication After Laparoscopic Cholecystectomy. ACG Case Rep J. 2021;8(5):e00579. Published 2021 May 12.
N, Fernandez Alberti J, Panzardi N, Auvieux R, Buero A. Thoracic empyema after gallstone spillage in times of Covid. Int J Surg Case Rep. 2020;76:221-226. doi: 10.1016/j.ijscr.2020.09.181. Epub 2020.
Virupaksha S. Consequences of spilt gallstones during laparoscopic cholecystectomy.Indian J Surg. 2014;76(2):95-99.
R, Dhal MR, Newme K, Moirangthem T, Boruah MP. A cross sectional study of risk factors for surgical site infections after laparoscopic and open cholecystectomy in a tertiary care hospital in North East India. J Family Med Prim Care. 2021;10(1):339-342.
M, O'Connell E, Rogers AC, Sorensen J, McNamara DA. Systematic review and meta-analysis of factors which reduce the length of stay associated with elective laparoscopic cholecystectomy. HPB (Oxford). 2021;23(2):161-172.
P, Sallinen V, Lampela H, Harju J, Koskenvuo L, Mentula P. The critical view of safety and bile duct injuries in laparoscopic cholecystectomy: a photo evaluation study on 1532 patients. HPB (Oxford). 2021;23(12):1824-1829.
P, Rodríguez-Luna MR, Urade T, et al. Intraoperative Time-Out to Promote the Implementation of the Critical View of Safety in Laparoscopic Cholecystectomy:1999.