COMPARISON BETWEEN CRITICAL VIEW OF SAFETY AND INFUNDIBULAR TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY 

Deari Ahmed Ismaeil a, Barham M. M. Salih a, Karzan Seerwan Abdulla aShahow Abdulrehman Ezzaddin b, Sarmad Hiwa Arif a, and Dlshad Hama Saeed c 




Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. 
Department of Community Medicine, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq
c Department of Surgery, Shar hospital, Ministry of Health, Kurdistan Region, Iraq.

Submitted: 12/3/2019; Accepted: 6/11/2019; Published: 21/12/2019

ABSTRACT


Background 

Laparoscopic cholecystectomy is a one of main surgical procedures that used widely for the treatment of symptomatic gallstones throughout the world. Although laparoscopic cholecystectomy has its own advantages, but bile duct injuries occur more frequently compared to the open cholecystectomy. In this study, critical view of safety (CVS) technique is compared to conventional infundibular technique (IT).


Objectives 

The aim is to compare critical view of safety with infundibular technique in laparoscopic cholecystectomy, in term of duration of the surgery and bile duct injuries (BDI).


Methods

Laparoscopic cholecystectomy was performed for 245 patients at Sulaimani city within a period from April 13th 2015 to April 13th 2016. The patients were divided into two groups; critical view of safety was used for the first group and infundibular technique for the second. Comparison performed between the both groups for operation time and bile duct injury.


Results

The operative time was significantly reduced in CVS technique as the mean time of the operations was (33.04 min) for CVS, and (38.58 min) for IT, with significant P-value (0.013). Seventeen cases (6.93%) converted to open cholecystectomy; the conversion found more in IT group, with significant P-value (< 0.001).


Conclusion

The “critical view of safety” although needs more patience in dissections with comparison to infundibular technique, but it is found to be faster and regard as a safe technique in laparoscopic cholecystectomy.



KEYWORDS

Critical View of Safety (CVS), Infundibular technique, Bile Duct Injury, Laparoscopic cholecystectomy.