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Volume 12 Issue 3 ( July-September ) 2023

Original Articles

To evaluate “critical view of safety” and bile duct injuries in laparoscopic cholecystectomy
Dr. Sahil Khajuria, Dr. Rohit Goel, Dr. Nair Furqan

Background: Several surgical techniques have been proposed to minimize the risk of BDIs. An identification method - the Critical View of Safety (CVS) - coined by Strasberg et al., in 1995, is considered one of the most successful.The present study was conducted to evaluate “critical view of safety” and bile duct injuries in laparoscopic cholecystectomy. Material & methods: The present prospective study was carried out among 80 cases of LC over a period of 1 year. Difficulty of GB condition made according to Nasser classification. Time in achieving in CVS is noted. Post-operative incidence of bile leak and bleeding is noted. Results: In the present study maximum cases of LC were of age group 41-50years. 78.75% cases were females and 21.25% were males. Maximum cases i.e. 42 cases had Nasser grade 2. CVS was achieved in all cases of grade 1 and grade 2. CVS was not achieved in 3 cases of grade 3 and 2 cases of grade 4. There was no mortality, bile leak and bleeding was present in 3.75% cases. Conclusion: The present study concluded that the Critical View of Safety had minimum no. of complications. Keywords: Critical View of Safety, complications, laparoscopic cholecystectomy.

 
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