medigraphic.com

2018, Number 2

<< Back Next >>

Cir Cir 2018; 86 (2)

Photographic documentation during safe laparoscopic cholecystectomy

Bolívar-Rodríguez MA, Pamanes-Lozano A, Matus-Rojas J, Cázarez-Aguilar MA, Fierro-López R

Language: Spanish
References: 17
Page: 152-156
PDF size: 360.02 Kb.


ABSTRACT

Introduction: Laparoscopic cholecystectomy is the most frequent procedure for the general surgeon. Biliary injury is a concern that must be addressed with the purpose of lowering the rate. The critical view of safety (CVS) is a target of dissection that impulses safety during the procedure. Objective: Determine by an ambispective analysis the safety during dissection of laparoscopic cholecystectomy in Hospital Civil de Culiacán (México). Methods: Descriptive, ambispective, observational, cross-sectional. Patients admitted to the operating room for a laparoscopic cholecystectomy were scored with Doublet photography rating criteria from January 1st 2015 to January 31, 2017. Results: 321 patients were evaluated, 77.9% were female and 22.1% male. The mean age was 45.57 ± 16.17 years. 65.4% had admission diagnosis of cholelithiasis, 24.3% acute cholecystitis, 5.9% chronic cholecystitis, 3.7% hydrocolecist and 0.6% pyocolecist. Surgeries were scored with Doublet photography. The CVS was obtained in 41.4% of the procedures with a statistical significance between a HPB surgeon and a general surgery resident (p ≤). Conclusion: Recording Doublet photography provides a reliable CVS dissection criterion. It can be easily reproduced during laparoscopic cholecystectomy. The identification of cystic structures adds to the culture of safety during laparoscopic cholecystectomy.


REFERENCES

  1. Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko ST, Airan MC. Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg. 1993;165:9-14.

  2. Downing SR, Datoo G, Oyetunji TA, Fullum T, Chang DC, Ahuja N. Asian race/ethnicity as a risk factor for bile duct injury during cholecystectomy. Arch Surg. 2010;145:785-7.

  3. Strasberg SM, Brunt LM. Rationale and use of the critical view of safety in laparoscopic cholecystectomy. J Am Coll Surg. 2010;211:132-8.

  4. Claros N, Laguna R, Pinilla R. Estrategias intraoperatorias para evitar la lesión de vía biliar durante la realización de una colecistectomía laparoscópica. Rev Med La Paz. 2011;17:5-15.

  5. Strasberg SM, Brunt LM. The critical view of safety: why it is not the only method of ductal identification within the standard of care in laparoscopic cholecystectomy. Ann Surg. 2017;265:464-5.

  6. Society of American Gastointestinal and Endoscopic Surgeons. Brunt LM. The SAGES Safe Cholecystectomy Program. 2017 Manages by BSC Management, Inc. Disponible en: https //www.sages org/safe-cholecystectomy-program.

  7. Yegiyants S, Collins JC. Operative strategy can reduce the incidence of major bile duct injury in laparoscopic cholecystectomy. Am Surg. 2008;4:985-7.

  8. Sanford DE, Strasberg SM. A simple effective method for generation of a permanent record of the critical view of safety during laparoscopic cholecystectomy by intraoperative “doublet” photography. J Am Coll Surg. 2014;218:170-8.

  9. Bonifaz Calvo JE, Palacio Vélez AF. Experiencia en reconstrucción de la vía biliar, secundaria a lesiones mayores iatrogénicas. Cir Gen. 2015;37:70-81.

  10. Álvarez LF, Rivera D, Esmeral ME, García MC, Toro DF, Rojas OL. Colecistectomía laparoscópica difícil, estrategias de manejo. Rev Colomb Cir. 2013;28:186-95.

  11. Buddingh KT, Nieuwenhuijs VB, van Buuren L, Hulscher JBF, de Jong JS, van Dam GM. Intraoperative assessment of biliary anatomy for prevention of bile duct injury: a review of current and futrure patient safety interventions. Surg Endosc. 2011;25:2449-61.

  12. Emous M, Westerterp M, Wind J, Eerenberg JP, van Geloven AA. Registering the critical view of safety: photo or video? Surg Endosc. 2010; 24:2527-30.

  13. Plasier PW, Pauwels MM, Lange JF. Quality control in laparoscopic cholecystectomy: operation notes, video or photo print? HPB. 2001;3:197-9.

  14. Avgerinos C, Kelgiorgi D, Touloumis Z, Baltatzi L, Dervenis C. One thousand laparoscopic cholecystectomies in a single surgical unit using the “critical view of safety” technique. J Gastrointest Surg. 2009;13:498-503.

  15. Heistermann HP, Tobusch A, Palmes D. [Prevention of bile duct injuries after laparoscopic cholecystectomy. “The critical view of safety”]. Zentralbl Chir. 2006;131:460-5.

  16. Misra M, Schiff J, Rendon G, Rothschild J, Schwaitzberg S. Laparoscopic cholecystectomy after the learning curve: what should we expect? Surg Endosc. 2005;19:1266-71.

  17. Sanjay P, Fulke JL, Exon DJ. ‘Critical view of safety’ as an alternative to routine intraoperative cholangiography during laparoscopic cholecystectomy for acute biliary pathology. J Gastrointest Surg. 2010;14:1280-4.




2020     |     www.medigraphic.com