Journal of AdvancedMedical and Dental Sciences Research

Background: In the modern era of minimally invasive surgery, indications for surgery have become more liberal, resulting in an enormous rise in the number of laparoscopic cholecystectomies performed annually. Direction of traction of gall bladder can lead to misidentification of CBD as cystic duct contributing to CBD injury. The critical view of safety (CVS) is a method of target identification, the targets being the cystic duct and the cystic artery. Many surgeons have a poor understanding of the criteria for CVS, especially those who were not taught CVS during residency. Hence; the present study was conducted for assessing the efficacy of achievement of critical view of safety in laparoscopic cholecystectomy in avoiding the occurrence of bile duct injury. Materials & methods: 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. The detail history taking and clinical examination as per Performa was done. After complete investigations and after satisfying inclusion and exclusion criteria of our study, patients were subjected to laparoscopic cholecystectomy. Standard four port method of performing lap cholecystectomy was used. Follow-up details were recorded in Microsoft excel sheet. All the results were analysed by SPSS software. Results: Normal Calot triangle anatomy was present in 70 percent of the patients. Mild adhesion was found to be present in 20 percent of the patients while moderate adhesion was found to be present in 10 percent of the patients. Aberrant anatomy was seen in 97 percent of the patients. Critical view of safety was seen in 100 percent of the patients. 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.