Evidence map›Paper›PMID 41079283›Full record

ArticleFrontiers in surgery2025

Patient and surgeon predictors of achieving the critical view of safety in laparoscopic cholecystectomy: a prospective cohort study.

Rami Addasi, Lana Al-Sabe', Kareem AlRawabdeh, Rand Abu-Zayed, Abdallah Alaarag, Marcelo A F Ribeiro, Ahmed H Helmy, M S El Muhtaseb, Salam Daradkeh

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Rami AddasiDepartment of General Surgery, School of Medicine, The University of Jordan, Amman, Jordan.
Lana Al-Sabe'Department of General Surgery, School of Medicine, The University of Jordan, Amman, Jordan.
Kareem AlRawabdehSchool of Medicine, The University of Jordan, Amman, Jordan.
Rand Abu-ZayedDepartment of General Surgery, School of Medicine, The University of Jordan, Amman, Jordan.
Abdallah AlaaragHCA Florida Healthcare/USF Morsani College of Medicine, Citrus Hospital, Inverness, FL, United States.
Marcelo A F RibeiroDepartment of Surgery, University of Maryland-R Adams Cowley Shock Trauma Center, Baltimore, MD, United States.
Ahmed H HelmyDepartment of General Surgery, Theodor Bilharze Research Institute, Giza, Egypt.
M S El MuhtasebDepartment of General Surgery, School of Medicine, The University of Jordan, Amman, Jordan.
Salam DaradkehDepartment of General Surgery, School of Medicine, The University of Jordan, Amman, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The Critical View of Safety (CVS) is a cornerstone of safe laparoscopic cholecystectomy (LC), aimed at minimizing the risk of bile duct injury (BDI). However, consistent achievement of CVS remains a challenge in surgical practice. The primary outcome of this study was to assess the rate of CVS achievement and to identify patient, disease and surgeon related predictors. Methods: A prospective cohort of 150 patients undergoing LC was analyzed. Demographic data, preoperative risk factors, intraoperative variables, and surgeon characteristics were examined. CVS assessment was performed using Strasberg's criteria. Binary logistic regression and Chi-squared test were used to identify independent predictors of CVS achievement. Results: The rate of CVS achievement in this study was 69.6% among consultants and 60.0% among residents. Logistic regression identified ASA grade I ( Conclusion: Both preoperative and intraoperative factors can influence a surgeon's ability to achieve CVS. In our study, lower ASA grade, emergency cholecystectomies, acute cholecystitis and operations performed by non-HPB surgeons were associated with a higher likelihood of achieving CVS. Standardized protocols and structured training may help improve CVS documentation across practice settings.

Indexed as

acute cholecystitisbile duct injuryCalot's trianglecritical view of safetyintraoperative cholangiographylaparoscopic cholecystectomyNassar difficulty grading scaleTokyo guidelines

Identifiers

PMID41079283
PMCPMC12507776

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.