the endoscopic surgeon

Cholecystectomy - beware of vascular variants

12.11.2022 by Christoph Schwinghammer

Cholecystectomy is a very common procedure for general surgeons. But you have to stay put and always be certain of the anatomy to prevent severe complications.

Last month I experienced another pitfall, which luckily I had already experienced in the past but thanks to our new capture capabilities in our hospital I was able to get good HD footage. Thanks to my recently acquired humble "Final Cut Pro skills" I am now able to present you following video.

YouTube has age restricted the content, so you have to sign in to watch it, also embedding isn't possible, sorry: https://youtu.be/DWFw9FcAIdE

So be sure to take your time with the Critical View of Safety (CVS).

Furthermore I want to introduce you to the Sages Safe Cholecystectomy Program
Strategies for Minimizing Bile Duct Injuries: Adopting a Universal Culture of Safety in Cholecystectomy (COSIC)

  • Bile duct injury rates have increased since the introduction of laparoscopic cholecystectomy, occurring in about 3 per 1,000 procedures performed.
  • Bile duct injuries after cholecystectomy can be life altering complications leading to significant morbidity and cost.
  • Because bile duct injuries are relatively infrequent, definitive studies comparing methods to minimize these complications will likely never be performed.

Didactic modules can be accessed at no cost at: http://fesdidactic.org/

Bibliography:

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