Value of Critical View of Safety Technique in Laparoscopic Cholecystectomy.

Safwat, Khaled; Shewail, AbdElhafezEl; Metwalli, Abd-Elrahman M.; Osman, Gamal; Elhady, WaleedAbd; Baghdadi, Muhammad Ali; Shahidy, TamerEl; Msce., SaadNagy

doi:10.21474/ijar01/4440

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“…In a similar study, Kaya et al found that all their patients who were operated with CVS were discharged on first, second or third day post-operative day (19) . However, in the Egyptian study, there was no significant difference in the hospital stay between the two techniques, may be because the small number of patients in each group (16) . The remarkable decrease in hospital stay in patients operated with CVS compared with those operated with the traditional method can be explained on the basis of postoperative complications, which have been more frequently among patients in infundibular group.…”

Section: Discussionmentioning

confidence: 72%

“…In Egypt, Safwat et al conducted a small prospective study on 30 patients with chronic cholecystitis treated surgically with either CVS or infundibular technique. Despite the small number of patients, the study revealed a significant difference in drain insertion between the two techniques in favor of CVS (16) . However, some studies did not report such variation between the two approaches.…”

Section: Discussionmentioning

confidence: 74%

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Adoption of Critical View of Safety versus Infundibular Technique in Laparoscopic Cholecystectomy: A comparative study

Abdulhassan,

Noman,

Hamdawi

2022

IraqiJMS

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Background: Laparoscopic cholecystectomy (LC) is the most common elective surgery performed by a general surgeon. Although being a routine procedure, classical pitfalls as misperception of intraoperative anatomy is one of the leading causes of bile duct injuries (BDI). The critical view of safety (CVS) in LC can be a new safe technique for identification of anatomy to reduce such a risk. Objective: To assess the efficacy of CVS in LC compared with the traditional infundibular technique. Methods: This comparative study included 344 patients who suffered from symptomatic gall stones. Patients have been grouped into two groups: group A (172 patients) operated utilizing the traditional infundibular technique and group B (172 patients) by CVS technique. Preoperative patient assessment, operating time and intraoperative and postoperative events including hospital stay, were recorded. Those patients who were unfit and or with bleeding disorders were excluded from the study. Postoperatively, patients were assessed using clinical examination for the possible complications. Results: The main perioperative complications bleeding and bile leak were significantly reported in infundibular group 6.98% and 9.88% respectively compared to 0.58% and 1.74% in CVS group respectively. Postoperatively, both intra-abdominal collection and bile leak were significantly lower in CVS group (1.16% and 1.74%, respectively) than in infundibular group (7.58% and 6.98%, respectively). Furthermore, hospital stay was significantly less in CVS group (1.8±2.7 days) compared to infundibular group (3.14±2.8 days). Conclusion: Using the CVS is associated with shorter operative time, less frequent peri- and postoperative complications and shorter hospital stay compared with infundibular technique. Keywords: Laparoscopic cholecystectomy, critical view of safety (CVS) Citation: Abdulhassan BA, Noman ZK, Hamdawi MA. Adoption of critical view of safety versus infundibular technique in laparoscopic cholecystectomy: A comparative study. Iraqi JMS. 2022; 20(2): 262-268. doi: 10.22578/IJMS.20.2.14

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 74%