Improving Critical View of Safety in Laparoscopic Cholecystectomy by Teaching Interventions

Guidelines recommend obtaining a critical view of safety during laparoscopic cholecystectomies to prevent serious bile duct injuries

Marissa A.J. Nijssen

2016

Scholarcy highlights

  • Guidelines recommend obtaining a critical view of safety during laparoscopic cholecystectomies to prevent serious bile duct injuries
  • The intervention consisted of a lecture followed by a handout on CVS along with a teaching video on how to perform a laparoscopic cholecystectomy and common pitfalls encountered
  • Videos before and after the teaching interventions were reviewed by 2 gastrointestinal surgeons regarding whether CVS was reached, and Kappa statistics were calculated to measure inter-rater agreement
  • CVS was reached in 69% of the preteaching intervention patients, in 73% after the first teaching intervention and in 82% after the second intervention
  • To improve surgeons’ success in reaching CVS, more personal interventions may be more effective than the group intervention we used in this study
  • The step may be to present surgeons and residents who have a low critical view of safety rate directly with their personal results

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