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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: Mar 30, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
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Current practices in biliary surgery: Do we practice what we teach?

Shaun C Daly1, Daniel J Deziel2, Xuan Li2

  • 1Rush University Medical Center, 1725 West Harrison Street, Suite 810, Chicago, IL, 60612, USA. Shaun_Daly@rush.edu.

Surgical Endoscopy
|November 7, 2015
PubMed
Summary
This summary is machine-generated.

Many surgeons do not use the critical view of safety (CVS) for laparoscopic cholecystectomy (LC) anatomy identification. This lack of adherence contributes to bile duct injuries (BDI) and highlights a need for improved surgical training.

Keywords:
Common bile ductCritical viewInjurySafety

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Area of Science:

  • Biliary surgery
  • Laparoscopic cholecystectomy
  • Surgical anatomy identification

Background:

  • Laparoscopic cholecystectomy (LC) is common in biliary surgery.
  • Bile duct injuries (BDI) remain a concern despite advances.
  • The critical view of safety (CVS) is recommended for anatomic identification.

Purpose of the Study:

  • To assess current surgical practices for anatomy identification during LC.
  • To determine surgeon adherence to the CVS method.
  • To identify potential factors contributing to BDI.

Main Methods:

  • A cohort study surveyed surgeons from surgical associations.
  • Survey items included cystic duct identification methods, CVS recognition, and intraoperative imaging use.
  • 374 of 849 surgeons responded.

Main Results:

  • 75% of surgeons could not descriptively identify the CVS; 21% could not visually identify it.
  • 56% used the infundibular method vs. 27% using the CVS.
  • Intraoperative cholangiography was used by 16%; laparoscopic ultrasound by <1%.

Conclusions:

  • Most surgeons do not prioritize the CVS during LC.
  • A significant portion of surgeons struggle to identify the CVS.
  • Revising LC teaching is crucial to reduce BDI.