KHẢO SÁT CÁC YẾU TỐ ẢNH HƯỞNG ĐẾN TỶ LỆ THÀNH CÔNG KHI THỰC HIỆN GÓC NHÌN AN TOÀN THIẾT YẾU TRONG PHẪU THUẬT NỘI SOI CẮT TÚI MẬT

Abstract

Aim: Evaluating the factors affecting the success rate when performing “The Critical View of Safety” (CVS) in laparoscopic cholecystectomy (LC). Subjects and methods: Prospective study, describing a series of cases of patients undergoing laparoscopic cholecystectomy with CVS applied to treat venous stones at Binh Dan Hospital from January 2022 to October 2022. Results: In the study there were 89 patients and the following results were recorded: high success rate, reaching 97.8%. Cases of failure are due to large stones blocking the neck of the vein and excessive adhesions in the hepatobiliary triangle in necrotizing vein inflammation. There is no statistically significant difference in the success rate of achieving CVS between groups: level of adhesion of the gallbladder (p = 0.272), surgeon experience (p = 0.502), time of surgery and condition of cholecystitis (p=1). There is a statistically significant difference in the success rate of achieving CVS between groups: gallbladder condition (p=0.02), degree of adhesion inflammation of the hepatobiliary triangle (p=0.039). Conclusion: Applying CVS in LC surgery at Binh Dan Hospital is completely feasible with high success rate, reaching 97.8%.