ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2010
'Critical view of safety' as an alternative to routine intraoperative cholangiography during laparoscopic cholecystectomy for acute biliary pathology.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03024892 (Intra-gallbladder or Systemic Indocyanide Green Injection Facilitate Cholecystectomy in Acute Cholecystitis , Gallstone and Gallbladder Polyp Patients.), which is not on this map. Cited by 31 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Intra-gallbladder or Systemic Indocyanide Green Injection Facilitate Cholecystectomy in Acute Cholecystitis , Gallstone and Gallbladder Polyp Patients.
Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy.World journal of emergency surgery : WJES · 2021Guideline
- Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy.Surgical endoscopy · 2020Guideline
- Routine on-table cholangiography during cholecystectomy: a systematic review.Annals of the Royal College of Surgeons of England · 2012Pooled it
- Selective intraoperative cholangiography: A retrospective single-centre analysis compared with national data and implications for surgical training.Langenbeck's archives of surgery · 2026Article
- Article
- CRITICAL VIEW OF SAFETY: A PROSPECTIVE SURGICAL AND PHOTOGRAPHIC ANALYSIS IN LAPAROSCOPIC CHOLECYSTECTOMY - DOES IT HELP TO PREVENT IATROGENIC LESIONS?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024Article
- SAGES SAFE CHOLE program changes surgeons practice in France-results of the FCVD implementation of SAFE CHOLE in France.Surgical endoscopy · 2023Article
- Comments on "Challenging Orthodoxy: Beyond the Critical View of Safety".Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part I.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- Defining Critical View of Safety During Laparoscopic Cholecystectomy: The Preoperative Predictors of Failure.Cureus · 2023Article
- Evaluation of the knowledge of the critical view of safety and recognition of the transoperative complexity during the laparoscopic cholecystectomy.Surgical endoscopy · 2022Article
- Rouviere's sulcus - An anatomical landmark for safe laparoscopic cholecystectomy: A cross-sectional study.Annals of medicine and surgery (2012) · 2022Article
- Critical view of safety in laparoscopic cholecystectomy: A prospective investigation from both cognitive and executive aspects.Frontiers in surgery · 2022Article
- Achieving the critical view of safety in the difficult laparoscopic cholecystectomy: a prospective study of predictors of failure.Surgical endoscopy · 2021Article
- A meta-analysis of the use of intraoperative cholangiography; time to revisit our approach to cholecystectomy?Surgery open science · 2021Review
- Near-infrared cholecystocholangiography with direct intragallbladder indocyanine green injection: preliminary clinical results.Surgical endoscopy · 2018Article
- Laparoscopic ultrasonography as an alternative to intraoperative cholangiography during laparoscopic cholecystectomy.World journal of gastroenterology · 2017Review
- Importance of critical view of safety in laparoscopic cholecystectomy: a survey of 120 serial patients, with no incidence of complications.Annals of hepato-biliary-pancreatic surgery · 2017Article
- How often do surgeons obtain the critical view of safety during laparoscopic cholecystectomy?Surgical endoscopy · 2017Article
- Population-Based Studies Should not be Used to Justify a Policy of Routine Cholangiography to Prevent Major Bile Duct Injury During Laparoscopic Cholecystectomy.World journal of surgery · 2017Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe study aims to evaluate the use of "critical view of safety" (CVS) for the prevention of bile duct injuries during laparoscopic cholecystectomy for acute biliary pathology as an alternative to routine intraoperative cholangiography (IOC).
methodsA policy of routine CVS to identify biliary anatomy and selective IOC for patients suspected to have common bile duct (CBD) stone was adopted. Receiver operator curves (ROCs) were used to identify cutoff values predicting CBD stones.
resultsFour hundred forty-seven consecutive, same admission laparoscopic cholecystectomies performed between August 2004 and July 2007 were reviewed. CVS was achieved in 388 (87%) patients. Where CVS was not possible, the operation was completed open. CBD stones were identified in 22/57 patients who underwent selective IOC. Preoperative liver function and CBD diameter were significantly higher in those with CBD stones (P < .001). ROC curve analysis identified preoperative cutoff values of bilirubin (35 mumol/L), alkaline phosphatase (250 IU/L), alanine aminotransferase (240 IU/L), and a CBD diameter of 10 mm, as predictive of CBD stones. No bile duct injuries occurred in this series.
conclusionIn acute biliary pathology, the use of CVS helps clarify the anatomy of Calot's triangle and is a suitable alternative to routine IOC. Selective cholangiography should be employed when preoperative liver function and CBD diameter are above defined thresholds.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.