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European Surgery
Published in: European Surgery 3/2021

Open Access 01-06-2021 | Cholangiography | main topic

The “critical view of safety (CVS)” cannot be applied—What to do? Strategies to avoid bile duct injuries

Authors: O. Univ. Prof. Dr. Hans-Jörg Mischinger, FRCS, FEBS(hon), Doris Wagner, Peter Kornprat, Heinz Bacher, Georg Werkgartner

Published in: European Surgery | Issue 3/2021

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Summary

Laparoscopic cholecystectomy has become the standard procedure worldwide since the early 1990s for those patients whose gallbladder has to be removed as part of their underlying disease (NIH Consensus Statement 1992). The most common complication is iatrogenic bile duct injury, which has not improved significantly since the introduction of open laparoscopic cholecystectomy as compared with open cholecystectomy. The intraoperative injuries are mostly the result of a misinterpretation of anatomical structures due to severe inflammation or topographical variations. In order to minimize this risk, a number of improved operative techniques and behavioral measures have been formulated. Here, we present methodological and operative possibilities as well as techniques that in unclear situations can help to minimize the risk of intraoperative injuries of the biliary tract and the accompanying vascular system.
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Metadata
Title
The “critical view of safety (CVS)” cannot be applied—What to do? Strategies to avoid bile duct injuries
Authors
O. Univ. Prof. Dr. Hans-Jörg Mischinger, FRCS, FEBS(hon)
Doris Wagner
Peter Kornprat
Heinz Bacher
Georg Werkgartner
Publication date
01-06-2021
Publisher
Springer Vienna
Published in
European Surgery / Issue 3/2021
Print ISSN: 1682-8631
Electronic ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-020-00660-1

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