Journal of AdvancedMedical and Dental Sciences Research

Background: Laparoscopic cholecystectomy (LC) is one of the most widely performed general surgical operations. The present study was undertaken for assessing the efficacy of achievement of critical view of safety in laparoscopic cholecystectomy in avoiding the occurrence of bile duct injury. Materials & methods: A total of 100 consecutive patients of gallbladder disease were included in the study. Patients were admitted a day prior to surgery in case of elective cholecystectomy from outpatient department (OPD) after complete investigations. Some patients were admitted from emergency with acute cholecystitis. Dissection of calot’s triangle from both its dorsal and ventral aspects was performed using both blunt and electrocautry dissection. Haemostasis was achieved. Subhepatic drain was inserted. Postoperative follow-up was done and details were analysed. Results: Critical view of safety was achieved in 100 percent of the patients of the present study. Aberrant anatomy was encountered only in three cases. Those cases were converted into open cholecystectomy. Conclusion: The critical view of safety method of ductal identification is an effective approach according to the best evidence that exists to minimize the risk of BDI during LC.