Evidence map›Paper›PMID 39475862›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2024

CRITICAL VIEW OF SAFETY: A PROSPECTIVE SURGICAL AND PHOTOGRAPHIC ANALYSIS IN LAPAROSCOPIC CHOLECYSTECTOMY - DOES IT HELP TO PREVENT IATROGENIC LESIONS?

Ana Carolina Buffara Blitzkow, Alexandre Coutinho Teixeira de Freitas, Júlio Cezar Uili Coelho, Antonio Carlos Ligocki Campos, Marco Aurelio Raeder da Costa, Victor Assad Buffara-Junior, Jorge Eduardo Fouto Matias

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07621198 (Prediction of Postoperative Complications in Major Surgery), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07621198 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prediction of Postoperative Complications in Major Surgery: A Prospective, Multicenter, Cohort Study in Low- and Middle-income Settings

TypeobservationalSponsorHospital Departamental de VillavicencioRan2026 to 2027Enrolled364ConditionsMajor SurgeryArmsPatients with postoperative complications
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. ANATOMIC VARIATIONS OF THE CYSTIC ARTERY DURING CHOLECYSTECTOMIES: IS IT IMPORTANT FOR THE SURGEON TO KNOW?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ana Carolina Buffara BlitzkowUniversidade Federal do Paraná, Postgraduate Program in Surgical Clinic - Curitiba (PR), Brazil.ORCID http://orcid.org/0000-0003-1791-9892
Alexandre Coutinho Teixeira de FreitasUniversidade Federal do Paraná, Department of Surgery - Curitiba (PR), Brazil.ORCID http://orcid.org/0000-0003-4864-4940
Júlio Cezar Uili CoelhoUniversidade Federal do Paraná, Department of Surgery - Curitiba (PR), Brazil.ORCID http://orcid.org/0000-0002-7622-8592
Antonio Carlos Ligocki CamposUniversidade Federal do Paraná, Department of Surgery - Curitiba (PR), Brazil.ORCID http://orcid.org/0000-0001-5080-8380
Marco Aurelio Raeder da CostaUniversidade Federal do Paraná, Department of Surgery - Curitiba (PR), Brazil.ORCID http://orcid.org/0000-0002-3452-2398
Victor Assad Buffara-JuniorHospital Santa Cruz - Rede D'or, Department of Surgery - Curitiba, Paraná (PR), Brazil.ORCID http://orcid.org/0000-0002-5534-4033
Jorge Eduardo Fouto MatiasUniversidade Federal do Paraná, Department of Surgery - Curitiba (PR), Brazil.ORCID http://orcid.org/0000-0001-6377-8870

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of biliary duct injuries remains higher in laparoscopic cholecystectomy (LC) in comparison to open surgery. The Critical View of Safety (CVS) was introduced by Strasberg as a strategy for reducing this catastrophic complication.

aimThe aim of this study was to evaluate how often an adequate CVS is achieved during LC, the determining factors for its success, and the associated surgical outcomes.

methodsThis is a prospective study. CVS photographs of all patients who underwent LC by the same surgeon between 2020 and 2023 were taken. Success in achieving CVS was analyzed by the surgeon herself and posteriorly by hepatobiliary specialists. Patients were classified into two groups: CVS achieved and CVS not achieved. Finally, multivariable logistic regression was used to examine the association between preoperatory factors and surgical complications.

resultsThree hundred and nine consecutive patients were submitted to LC. There were 73.5% elective CL and 26.5% acute cholecystitis. The age ranged from 14 to 87 years, and 76.8% were female. The median body mass index was 26.7. Previous abdominal surgeries were present in 64%, and 26% were obese. The CVS was achieved in 79.9% of the patients, and there were no surgical complications in this group. The factors associated with nonachievement were acute cholecystitis (p=0.007), male sex (p=0.014), and previous surgeries (p=0.021). Three patients needed a subtotal cholecystectomy due to severe inflammation. There was no statistical correlation between the identification of CVS and surgical complications.

conclusionsThe CVS is achieved in most patients. Acute cholecystitis, male sex, and previous abdominal operations are associated with difficulties in obtaining CVS.

Indexed as

Cholecystectomy, LaparoscopicAdolescentAdultAgedAged, 80 and overBile DuctsFemaleHumansIatrogenic DiseaseIntraoperative ComplicationsMaleMiddle AgedPatient SafetyPhotographyPostoperative ComplicationsProspective Studies

Identifiers

PMID39475862
PMCPMC11506944

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.