ArticleCureus2025
Assessment of Structured Education on Young Surgeons' Ability to Achieve a Quality Critical View of Safety During Laparoscopic Cholecystectomy: A Pre- and Post-intervention Longitudinal Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic cholecystectomy (LC) is the standard treatment for various gallbladder pathologies. However, bile duct injuries (BDIs) remain a major complication despite advancements in techniques. The critical view of safety (CVS) has been proposed to reduce BDI rates, yet, the "CVS Paradox" suggests that injury rates have remained stable in some centers despite reports of using the CVS technique.
objectiveThis study aimed to assess the impact of structured educational sessions on young surgeons' ability to achieve optimal CVS during LC.
methodsA pre- and post-intervention longitudinal study was conducted on 40 patients, divided into two groups: Group A (pre-education) and Group B (post-education). Ten junior surgeons performed LCs at two centers, with each performing two procedures before and two after the educational intervention on CVS. Recorded surgical videos were assessed using a 6-point CVS scoring system.
resultsThere were no statistically significant differences between the groups in terms of demographic data, preoperative diagnosis, or comorbidities. Intraoperative BDI occurred in 10% of Group A patients, but none in Group B (p=0.147). The CVS was misreported in 50% of Group A cases but in none of Group B (p<0.001). The mean CVS score was significantly higher in Group B (5.45±0.60) compared to Group A (3.80±0.82) (p=0.001). "Satisfactory CVS" achievement was also significantly greater in Group B (95%) versus Group A (40%) (p=0.001).
conclusionStructured educational sessions significantly improved the attainment of CVS and the accuracy of its reporting, suggesting that focused training can help reduce complications such as BDI during LC.
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