Major vasculobiliary injuries during laparoscopic cholecystectomy continue to occur at 0.2 to 0.6% and the vast majority (up to 85%) are related to misidentification of anatomical structures. 1 The Critical View of Safety (CVS) was described in 1995 as a target identification method and has the following three requirements: (1) clearance of the ...

The following are 6 suggested strategies surgeons can employ to adopt a universal culture of safety for cholecystectomy to and minimize the risk of bile duct injury.* 1. Use the Critical View of Safety (CVS) method of identification of the cystic duct and cystic artery during laparoscopic cholecystectomy.7

In this article, a technique of achieving critical view of safety during laparoscopic cholecystectomy is described with the aim to enhance its understanding among general surgery trainees and practicing general surgeons.

Background: The Critical View of Safety (CVS) has been increasingly recognised as the standard method for identification of the cystic structures, to prevent vasculobiliary injuries during laparoscopic cholecystectomy, however, its adoption has been anything but universal.

2022年12月6日 · The Critical View of Safety (CVS) has been increasingly recognised as the standard method for identification of the cystic structures, to prevent vasculobiliary injuries during laparoscopic cholecystectomy, however, its adoption has been anything but universal.

The Critical View of Safety, when correctly applied, is confirmed to be the safest technique for recognizing the elements of the Calot triangle, and it is associated with a significant impact in preventing intraoperative complications (iatrogenic lesions and perioperative bleeding).

2022年12月6日 · The Critical View of Safety has been recognised as the standard method for the identification of cystic structures to prevent vasculobiliary injuries during...

First described in 1995, the Critical View of Safety (CVS) combines all these qualities and has been increas-ingly accepted as the method for secure identification of the anatomical structures in the hepatocystic triangle [3, 5–7]. The rationale behind the CVS is based on a two-step approach and has three requirements.

Background: Laparoscopic cholecystectomy is considered the gold standard for the treatment of gallbladder lithiasis; nevertheless, the incidence of bile duct injuries (BDI) is still high (0.3-0.8%) compared to open cholecystectomy (0.2%). In 1995, Strasberg introduced the "Critical View of Safety" (CVS) to reduce the risk of BDI.

J Am Coll Surg. 2010 Jul;211 (1):132-8. doi: 10.1016/j.jamcollsurg.2010.02.053. Epub 2010 May 26.Rationale and use of the critical view of safety in laparoscopic cholecystectomy