Is the Safe Cholecystectomy Technique Really Safe?

Sinan Soylu

doi:10.7197/cmj.1404025

EN TR

Is the Safe Cholecystectomy Technique Really Safe?

Abstract

Aim: This study aims to present the results of a single surgeon's experience to demonstrate the effectiveness of the 'Critical View of Safety' (CVS) technique in preventing bile duct injuries in clinical practice. Method: We retrospectively reviewed the records of 899 patients who underwent cholecystectomy using the CVS technique performed by a single surgeon at the Sivas Cumhuriyet University Hospital General Surgery Department between 2018 and 2023. Ethical approval for the study was obtained. Cholecystectomy cases were scanned retrospectively. The patients' age, gender, drain placement, surgery indications, and reason for switching to open cholecystectomy were recorded. Results: Among the 899 patients reviewed, 312 were male (34.70%), and 587 were female (65.30%). The average age was 55.10 for males and 51,65 for females. It was determined that 7(0.77%), cases converted to open cholecystectomy. The most common indication for cholecystectomy was elective gallbladder stone removal, accounting for 47.05% of cases. No major bile duct injuries were detected.. Conclusions: The safe cholecystectomy technique can be safely applied to avoid bile duct injuries in laparoscopic cholecystectomy.

Keywords

Güvenli Kolesistektomi Gerçekten Güvenli mi?

Öz

Amaç: Bu çalışma, klinik pratikte safra yolu yaralanmalarının önlenmesinde 'Eleştirel Güvenlik Görüşü' (CVS) tekniğinin etkinliğini göstermek için tek bir cerrahın deneyiminin sonuçlarını sunmayı amaçlamaktadır. Yöntem: 2018-2023 yılları arasında Sivas Cumhuriyet Üniversitesi Hastanesi Genel Cerrahi Anabilim Dalı'nda tek cerrah tarafından CVS tekniği kullanılarak kolesistektomi yapılan 899 hastanın kayıtları retrospektif olarak incelendi. Çalışma için etik onay alındı. Kolesistektomi olguları geriye dönük olarak tarandı. Hastaların yaşı, cinsiyeti, dren yerleşimi, ameliyat endikasyonları ve açık kolesistektomiye geçiş nedenleri kaydedildi. Bulgular: İncelenen 899 hastanın 312'si (%34,70) erkek, 587'si (%65,30) kadındı. Erkeklerde yaş ortalaması 55,10, kadınlarda ise 51,65’ idi. Olguların 7'sinin (%0,77) açık kolesistektomiye dönüştüğü belirlendi. Kolesistektominin en yaygın endikasyonu safra kesesi taşının elektif olarak çıkarılmasıydı ve vakaların %47,05'ini oluşturuyordu. Majör safra kanalı yaralanması tespit edilmedi. Sonuç: Laparoskopik kolesistektomide safra yolu yaralanmalarını önlemek için güvenli kolesistektomi tekniği güvenle uygulanabilir.

Anahtar Kelimeler

References

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Details

Primary Language

English

Subjects

Patient Safety

Journal Section

Research Article

Authors

Sinan Soylu ^*
0000-0002-3911-3227
Türkiye

Publication Date

December 31, 2023

Submission Date

December 12, 2023

Acceptance Date

December 27, 2023

Published in Issue

Year 2023 Volume: 45 Number: 4

DOI

https://doi.org/10.7197/cmj.1404025

IZ

https://izlik.org/JA27ZH69BY

Cite

RIS / Bibtex

AMA

1.Soylu S. Is the Safe Cholecystectomy Technique Really Safe? CMJ. 2023;45(4):73-77. doi:10.7197/cmj.1404025