Euroasian journal of hepato-gastroenterology

Register      Login

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

REVIEW ARTICLE

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).


Abstract

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.


PDF Share
  1. Sgaramella LI, Gurrado A, Pasculli A, et al. Italian Collaborative Group. The critical view of safety during laparoscopic cholecystectomy: Strasberg Yes or No? An Italian multicentre study. Surg Endosc 2021;35(7):3698. DOI: 10.1007/s00464-020-07852-6.
  2. Amreek F, Hussain S, Mnagi M, et al. Retrospective analysis of complications associated with laparoscopic cholecystectomy for symptomatic gallstones. Cureus 2019;11(7):e5152. DOI: 10.7759/cureus.5152.
  3. Chole S Study Group, West Midlands Research Collaborative. Population-based cohort study of outcomes following cholecystectomy for benign gallbladder diseases. Br J Surg 2016;103(12):1704–1715. DOI: 10.1002/bjs.10287.
  4. Camila HB, Noelia BV, De la Plaza Andrés P, et al. Morbidity and mortality of elective laparoscopic cholecystectomy in a university service. Rev Méd Urug 2021. DOI: 10.29193/rmu.37.1.2.
  5. Pucher PH, Brunt LM, Davies N, et al.; SAGES Safe Cholecystectomy Task Force. Outcome trends and safety measures after 30 years of laparoscopic cholecystectomy: a systematic review and pooled data analysis. Surg Endosc 2018;32(5):2175–2183. DOI: 10.1007/s00464-017-5974-2.
  6. O'Brien S, Wei D, Bhutiani N, et al. Adverse outcomes and short-term cost implications of bile duct injury during cholecystectomy. Surg Endosc 2020;34(2):628–635. DOI: 10.1007/s00464-019-06809-8.
  7. Strasberg SM. Biliary injury in laparoscopic surgery. Part 1. Processes used in determination of standard of care in misidentification injuries. J Am Coll Surg 2005;201(4):598–603. DOI: 10.1016/j.jamcollsurg.2005.05.009.
  8. Strasberg SM. A perspective on the critical view of safety in laparoscopic cholecystectomy. Ann Laparosc Endosc Surg 2017;2:91. DOI: 10.21037/ales.2017.04.08.
  9. Stefanidis D, Chintalapudi N, Anderson-Montoya B, et al. How often do surgeons obtain the critical view of safety during laparoscopic cholecystectomy? Surg Endosc 2017;31(1):144–146. DOI: 10.1007/s00464-016-4943-5.
  10. Nijssen MAJ, Schreinemakers JMJ, Meyer Z, et al. 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. DOI: 10.1007/s00268-015-2993-9.
  11. Nijssen MAJ, Schreinemakers JMJ, Van Der Schelling GP, et al. Improving critical view of safety in laparoscopic cholecystectomy by teaching interventions. J Surg Educ 2016;73(3):442–447. DOI: 10.1016/j.jsurg.2015.11.015.
  12. Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 1995;180(1):101–125. PMID: 8000648.
  13. JM Beal. Historical perspective of gallstone disease. Surg Gynecol Obstet 1984;158(2):181–189. PMID: 6364426.
  14. Mascagni P, Fiorillo C, Urade T, et al. Formalizing video documentation of the Critical View of Safety in laparoscopic cholecystectomy: a step towards artificial intelligence assistance to improve surgical safety. Surg Endosc 2020;34(6):2709–2714. DOI: 10.1007/s00464-019-07149-3.
  15. Chama-Naranjo A, Farell RJ, Cuevas VJ. Safe cholecystectomy: what is it and how to do it? How do we do it? Rev Colomb Cir 2021;36: 324–333. DOI: 10.30944/20117582.733.
  16. Wakabayashi G, Iwashita Y, Hibi T, et al. Tokyo Guidelines 2018: surgical management of acute cholecystitis: safe steps in laparoscopic cholecystectomy for acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018;25(1):73–86. DOI: 10.1002/jhbp.517.
  17. Ansaloni L, Pisano M, Coccolini F, et al. 2016 WSES guidelines on acute calculous cholecystitis. World J Emerg Surg 2016;14(11):25. DOI: 10.1186/s13017-016-0082-5.
  18. Elshaer M, Gravante G, Thomas K, et al. Subtotal cholecystectomy for “difficult gallbladders” systematic review and meta-analysis. JAMA Surg 2015;150(2):159–168. DOI: 10.1001/jamasurg.2014.1219.
  19. Yamashita Y, Kimura T, Matsumoto S. A safe laparoscopic cholecystectomy depends upon the establishment of a critical view of safety. Surg Today 2010;40(6):507–513. DOI: 10.1007/s00595-009-4218-z.
  20. Pucher PH, Brunt LM, Fanelli RD, et al. SAGES expert Delphi consensus: critical factors for safe surgical practice in laparoscopic cholecystectomy. Surg Endosc 2015;29(11):3074–3085. DOI: 10.1007/s00464-015-4079-z.
  21. Álvarez LF, Rivera D, Esmeral ME, et al. Difficult laparoscopic cholecystectomy, management strategies. Rev Colomb Cir 2013;28(3):186–195. DOI: 10.1016/s0002-9610(02)00934-0.
  22. Strasberg SM. A teaching program for the “culture of safety in cholecystectomy” and the prevention of bile duct injury. J Am College Surg 2013;217(4):751. DOI: 10.1016/j.jamcollsurg.2013.05.001.
  23. Mercado MA, De Leon AR, Cisneros-Correa J. Vanishing Calot syndrome: pseudo-Mirizzi syndrome. J Am Coll Surg 2020;230: 841–842. DOI: 10.1016/j.jamcollsurg.2020.01.036.
  24. Törnqvist B, Waage A, Zheng Z, et al. Acute cholecystitis severity and risk of iatrogenic bile duct injury during cholecystectomy, a population-based case-control study. World J Surg 2016;40(5): 1060–1067. DOI: 10.1007/s00268-015-3365-1.
  25. Strasberg SM. Avoidance of biliary injury during laparoscopic cholecystectomy. J Hepatobiliary Pancreat Surg 2002;9(5):543–547. DOI: 10.1007/s005340200071.
  26. Shi H-Y, Lee K-T, Chiu CC, et al. The volume-outcome relationship in laparoscopic cholecystectomy: a population-based study using propensity score matching. Surg Endosc 2013;27(9):3139–3145. DOI: 10.1007/s00464-013-2867-x.
  27. Csikesz NG, Singla A, Murphy MM, et al. Surgeon volume metrics in laparoscopic cholecystectomy. Dig Dis Sci 2010;55(8):2398–2405. DOI: 10.1007/s10620-009-1035-6.
  28. Moura Santos CA, Protásio dos Santos M, Souza Santos R. A study of the critical vision of safety and it relation with bile duct lesión. Braz J Hea Rev 2020;3(2):2563–2573. DOI: 10.34119/bjhrv3n2-104.
  29. Brunt LM, Deziel DJ, Telem DA, et al. Safe cholecystectomy multi-society practice guideline and state of the art consensus conference on prevention of bile duct injury during cholecystectomy. Ann Surg 2020;272(1):3–23. DOI: 10.1097/SLA.0000000000003791.
  30. Strasberg SM, Helton WS. An analytical review of vasculobiliary injury in laparoscopic and open cholecystectomy. HPB 2011;13(1):1–14. DOI: 10.1111/j.1477-2574.2010.00225.x.
  31. Guevara-Morales G. Relevance of the critical view of safety as a standardized step in laparoscopic cholecystectomy. Cir Cir 2019;87(4):477. DOI: 10.24875/CIRU.18000901.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.