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World Journal of Surgery
Published in: World Journal of Surgery 6/2011

Open Access 01-06-2011

Safety Measures During Cholecystectomy: Results of a Nationwide Survey

Authors: K. T. Buddingh, H. S. Hofker, H. O. ten Cate Hoedemaker, G. M. van Dam, R. J. Ploeg, V. B. Nieuwenhuijs

Published in: World Journal of Surgery | Issue 6/2011

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Abstract

Background

This study aimed to identify safety measures practiced by Dutch surgeons during laparoscopic cholecystectomy.

Method

An electronic questionnaire was sent to all members of the Dutch Society of Surgery with a registered e-mail address.

Results

The response rate was 40.4% and 453 responses were analyzed. The distribution of the respondents with regard to type of hospital was similar to that in the general population of Dutch surgeons. The critical view of safety (CVS) technique is used by 97.6% of the surgeons. It is documented by 92.6%, mostly in the operation report (80.0%), but often augmented by photography (42.7%) or video (30.2%). If the CVS is not obtained, 50.9% of surgeons convert to the open approach, 39.1% continue laparoscopically, and 10.0% perform additional imaging studies. Of Dutch surgeons, 53.2% never perform intraoperative cholangiography (IOC), 41.3% perform it incidentally, and only 2.6% perform it routinely. A total of 105 bile duct injuries (BDIs) were reported in 14,387 cholecystectomies (0.73%). The self-reported major BDI rate (involving the common bile duct) was 0.13%, but these figures need to be confirmed in other studies.

Conclusion

The CVS approach in laparoscopic cholecystectomy is embraced by virtually all Dutch surgeons. The course of action when CVS is not obtained varies. IOC seems to be an endangered skill as over half the Dutch surgeons never perform it and the rest perform it only incidentally.
Appendix
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Metadata
Title
Safety Measures During Cholecystectomy: Results of a Nationwide Survey
Authors
K. T. Buddingh
H. S. Hofker
H. O. ten Cate Hoedemaker
G. M. van Dam
R. J. Ploeg
V. B. Nieuwenhuijs
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 6/2011
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-011-1061-3

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