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Critical View of Safety: A Safe Method to Prevent Bile Duct Injury from Laparoscopic Cholecystectomy |
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| รหัสดีโอไอ | |
| Creator | Thawatchai Tullavardhana |
| Title | Critical View of Safety: A Safe Method to Prevent Bile Duct Injury from Laparoscopic Cholecystectomy |
| Publisher | Faculty of Medicine,Srinakharinwirot University |
| Publication Year | 2558 |
| Journal Title | Journal of Medicine and Health Sciences |
| Journal Vol. | 22 |
| Journal No. | 1 |
| Page no. | 49-57 |
| Keyword | laparoscopic cholecystectomy, safe surgical technique, bile duct injury |
| ISSN | 0859-3304 |
| Abstract | The incidence of bile duct injury after laparoscopic cholecystectomy is 0.20 - 3.24%. This may cause post-operative morbidity to the patients. Factors associated with bile duct injury included training experience, disease severity, anomalous anatomy and technical errors. The "Critical view of safety" is a technique for dissection of the Calot's triangle by clearing fatty and fibrous tissue for identification of cystic duct and cystic artery, which were directed into the gall bladder. This is a very important step before clipping and ligation of cystic duct and cystic artery for preventing bile duct injury. However, in case of the cleared anatomy was not visualized, intra-operative cholangiography or conversion to open cholecystectomy should be considered for patient safety. |
