The Critical View of Safety in Laparoscopic Cholecystectomy: User Trends Among Residents and Consultants. Issue 4 (18th August 2022)

• Record Type: Journal Article
• Authors: Terho, Petra; Sallinen, Ville; Lampela, Hanna; Harju, Jukka; Koskenvuo, Laura; Mentula, Panu
• Is Part Of: Surgical laparoscopy endoscopy & percutaneous techniques. Volume 32:Issue 4(2022)
• Page Start: 453
• Page End: 461
• Publication Date: 2022-08-18
• Subjects: laparoscopic cholecystectomy -- critical view of safety -- bile duct injuries; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Endoscopy -- Periodicals; Laparoscopy -- Periodicals; 617.550597
• DOI: 10.1097/SLE.0000000000001077
• Languages: English
• ISSNs: 1530-4515

Abstract

Abstract : Background: The Critical View of Safety (CVS) aims at preventing bile duct injuries (BDIs) in laparoscopic cholecystectomy (LCC). This study investigated CVS utilization among surgeons. Methods: Photos from LCCs were scored for satisfactory CVS. Rates of satisfactory CVS, BDIs, and postoperative complications among residents and consultants were compared. A lecture on CVS was given halfway through the study. Results: The study comprised 1532 patients. Residents had higher rates of satisfactory CVS in elective LCCs compared with consultants (34.9% vs. 23.0%, P <0.001), but not in emergency LCCs (18.4% vs. 15.0%, P =0.252). No significant differences in BDIs or postoperative complications emerged between residents and consultants. After the lecture, elective LCCs were photographed more frequently (80.3% vs. 74.0%, P =0.032), but rates of satisfactory CVS, BDIs, and postoperative complications remained unchanged. Conclusions: Utilization of CVS can be affected by a single lecture but affecting rates of satisfactory CVS may require stronger interventions.