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VOLUME 12 , ISSUE 1 ( January-June, 2022 ) > List of Articles


Strasberg's Critical View: Strategy for a Safe Laparoscopic Cholecystectomy

Eduardo E Montalvo-Javé, Ericka H Contreras-Flores, Edwin A Ayala-Moreno, Miguel A Mercado

Keywords : Biliary injury, Cholecystectomy, Cholelithiasis, Laparoscopic cholecystectomy, Strasberg critical view, Surgery, Triangle of Calot

Citation Information : Montalvo-Javé EE, Contreras-Flores EH, Ayala-Moreno EA, Mercado MA. Strasberg's Critical View: Strategy for a Safe Laparoscopic Cholecystectomy. Euroasian J Hepatogastroenterol 2022; 12 (1):40-44.

DOI: 10.5005/jp-journals-10018-1353

License: CC BY-NC 4.0

Published Online: 13-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Background: Every year, worldwide, the celebration for patient safety is carried out; since about 2.6 million people are documented who die each year from events that can potentially be avoided during their medical care, it is even estimated that around 15% of hospital costs can be attributed to treatment resulting in patient safety. As an important part of its dissemination in the medical–surgical community, we present the following article in relation to the critical vision of safety in the bile duct, promoted and published initially by Dr Steven Strasberg, which aims to reduce the number of complications during laparoscopic cholecystectomies. Materials and methods: A bibliographic search was carried out in PubMed, Medline, Clinical Key, and Index Medicus. From May 2020 to July 2021 in Spanish and English with the following. Conclusions: Strasberg's critical view is a proposed strategy to minimize the risk to zero during laparoscopic gallbladder surgery. It consists of obtaining a plane in which the surgeon can visualize the anatomical structures that make up the bile duct, as well as its irrigation and drainage. Being able to clearly observe these structures allows the surgeon to cut freely and safely to avoid bile duct injuries which are not so uncommon during this procedure.

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