RESULTS OF LAPAROSCOPIC CHOLECYSTECTOMY WITH APPLICATION OF THE CRITICAL VIEW OF SAFETY

Sơn Đặng Thanh, Cương Lương Ngọc, Chung Nguyễn Văn, Hải Dương Hoàng, Tâm Nguyễn Văn

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Abstract

Objective: To evaluate the early treatment outcomes of laparoscopic cholecystectomy with using "The Critical View of Safety". Subjects and Methods: A cross-sectional descriptive study was conducted on 58 patients (pts) who underwent laparoscopic cholecystectomy with the application of The Critical View of Safety (CVS) at Thai Nguyen National Hospital from January 2023 to September 2023. Results: There were 31 pts (53.4%) without cholecystitis and 27 pts (46.6%) with acute cholecystitis, classified into 3 degrees according to (TG 2018): Grade I: 39.9%; Grade II: 5.2%; Grade III: 3.5%. The success rate of applying the CVS in surgery was 96.6%. The complication rate during surgery was 3.4%. Results: Good:  96.6%; Moderate: 3.4%. Conclusion: Achieving the critical view of safety in laparoscopic cholecystectomy is crucial to reduce intra- and postoperative complication rates.

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References

1. Kapoor T, Wrenn SM, Callas PW, Abu-Jaish W. Cost analysis and supply utilization of laparoscopic cholecystectomy. Minim Invasive Surg. 2018;2018:7838103.
2. Hassler KR, Collins JT, Philip K, Jones MW. Laparoscopic cholecystectomy. In: StatPearls [Internet]. StatPearls Publishing; 2022.
3. Nijssen MAJ, Schreinemakers JMJ, Meyer Z, Van Der Schelling GP, Crolla RMPH, Rijken AM. Complications after laparoscopic cholecystectomy: a video evaluation study of whether the critical view of safety was reached. World J Surg. 2015;39(7):1798-1803.
4. Radunovic M, Lazovic R, Popovic N, Magdelinic M, Bulajic M, Radunovic L, et al. Complications of laparoscopic cholecystectomy: our experience from a retrospective analysis. Open Access Maced J Med Sci. 2016;4(4):641-646.
5. Nassar AHM. Achieving the critical view of safety in the difficult laparoscopic cholecystectomy: a prospective study of predictors of failure. Surg Endosc. 2021;35(11):6039-6047.
6. Gupta V, Jain G. Safe laparoscopic cholecystectomy: adoption of universal culture of safety in cholecystectomy. World J Gastrointest Surg. 2019;11(2):34-116.
7. Okamoto K, Suzuki K, Takada T. Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci. 2018;25:55-72.
8. Văn Tần. Tiến bộ trong cắt TM qua nội soi ổ bụng tại Bệnh viện Bình Dân. Y học Việt Nam. 2006;319(Số đặc biệt về PTNS):163-178.
9. Trần Kiến Vũ. Nghiên cứu ứng dụng phẫu thuật cắt túi mật nội soi trong điều trị viêm túi mật cấp tại bệnh viện đa khoa Trà Vinh [luận án tiến sỹ y học]. Hà Nội: Đại học Y Hà Nội; 2016.
10. Đỗ Kim Sơn, Nguyễn Mạnh Cường. Điều trị viêm túi mật cấp tính đơn thuần. Ngoại khoa. 1993;23(5):9-13.