The Surgical Edge

Critical View of Safety in Cholecystectomy

Surgical Doctor Season 1 Episode 42

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The Critical View of Safety (CVS) is a stringent, three-part anatomical standard that must be achieved during laparoscopic cholecystectomy to prevent common bile duct (CBD) injury. CBD injury rates are significantly higher in laparoscopic surgery, often occurring because surgeons misinterpret the anatomy in Calot’s triangle and mistakenly transect the CBD.

The procedural steps for defining and achieving the CVS serve as the single most effective measure to safeguard against this complication. Let's dive in. 

Disclaimer - Only for reference, please refer to standard and local guidelines in practice. 

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