Araştırma Makalesi

Güvenli Kolesistektomi Gerçekten Güvenli mi?

Cilt: 45 Sayı: 4 31 Aralık 2023
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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

Kaynakça

  1. 1. Vollmer CM, Jr., Callery MP. (2007) Biliary injury following laparoscopic cholecystectomy: why still a problem? Gastroenterology 133: 1039–1041. https://doi.org/10.1053/j.gastro.2007.07.041, 2007/09/15
  2. 2. Way LW, Stewart L, Gantert W et al (2003) Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg 237(4):460–469. https://doi.org/10.1097/01.SLA.0000060680. 92690.E9
  3. 3. The Southern Surgeons Club (1991) A prospective analysis of 1518 laparoscopic cholecystectomies. N Engl J Med 324(16):1073–1078. https://doi.org/10.1056/NEJM19910418324 1601 5.
  4. 4. Davidof AM, Pappas TN, Murray EA et al (1992) Mechanisms of major biliary injury during laparoscopic cholecystectomy. Ann Surg 215(3):196–202 6.
  5. 5. Tornqvist B, Stromberg C, Persson G, Nilsson M (2012) Efect of intended intraoperative cholangiography and early detection of bile duct injury on survival after cholecystectomy: population based cohort study. BMJ 345:e6457. https://doi.org/10.1136/bmj. e6457
  6. 6. Brittany Greene, Melanie Tsang, Shiva Jayaraman. The inferior boundary of dissection as a novel landmark for safe laparoscopic cholecystectomy. 2021; 23 (7):981-983. Doi:10.1016/j.hpb.2021.02.04.
  7. 7. Joshua Weis, Michael Brunt, Amin Madani, Dana Telem, Madhuri Nagaraj, Horacio Asbun,Briam R Davis, Sharmila Dissanaike,Michael B Ujiki,Carl J Wescott, Adnan Alseidi; SAGES Safe Chole Task Force. SAGES safe cholecystectomy modules improve practicing surgeons’judfment: results of a randomized,controlled trial. 2023; 37(2):862-870.
  8. 8. Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J. Am. Coll. Surg. 1995; 180: 101–25

Ayrıntılar

Birincil Dil

İngilizce

Konular

Hasta Güvenliği

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

31 Aralık 2023

Gönderilme Tarihi

12 Aralık 2023

Kabul Tarihi

27 Aralık 2023

Yayımlandığı Sayı

Yıl 1970 Cilt: 45 Sayı: 4

Kaynak Göster

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