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Related Concept Videos

Guidelines for Nursing Documentation I01:30

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Related Experiment Video

Updated: Feb 10, 2026

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
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[Photographic documentation during safe laparoscopic cholecystectomy].

Martín A Bolívar-Rodríguez1, Adrián Pamanes-Lozano1, Jaime Matus-Rojas1

  • 1Departamento de Cirugía General, Centro de Investigación y Docencia en Ciencias de la Salud, Universidad Autónoma de Sinaloa, Hospital Civil de Culiacán, Culiacán, Sin. México.

Cirugia Y Cirujanos
|May 30, 2018
PubMed
Summary

Doublet photography reliably identifies the critical view of safety (CVS) during laparoscopic cholecystectomy, enhancing surgical safety. This method is reproducible and aids in reducing biliary injury rates.

Keywords:
Colecistectomía laparoscópicaDocumentaciónDocumentationFotografíaLaparoscopic cholecystectomyPatient safetyPhotographySeguridad del paciente

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Area of Science:

  • Surgical Innovation
  • Patient Safety
  • Minimally Invasive Surgery

Background:

  • Laparoscopic cholecystectomy is a common surgical procedure.
  • Biliary injury is a significant concern, necessitating strategies for its reduction.
  • The critical view of safety (CVS) is a key dissection principle to enhance intraoperative safety.

Purpose of the Study:

  • To evaluate the safety of dissection during laparoscopic cholecystectomy using an ambispective analysis.
  • To assess the effectiveness of Doublet photography in achieving the critical view of safety (CVS).
  • To determine the reproducibility and reliability of the CVS in a Mexican hospital setting.

Main Methods:

  • A descriptive, ambispective, observational, and cross-sectional study.
  • Inclusion of patients undergoing laparoscopic cholecystectomy between January 2015 and January 2017.
  • Utilizing Doublet photography rating criteria to assess surgical dissection and CVS achievement.

Main Results:

  • 321 patients were analyzed, with 77.9% females and 22.1% males, mean age 45.57 years.
  • Common indications included cholelithiasis (65.4%) and acute cholecystitis (24.3%).
  • The critical view of safety (CVS) was achieved in 41.4% of procedures, with significant differences noted between HPB surgeons and general surgery residents (p ≤ 0.05).

Conclusions:

  • Doublet photography serves as a dependable criterion for CVS dissection during laparoscopic cholecystectomy.
  • This method is easily reproducible and contributes to a stronger culture of safety.
  • Improved identification of cystic structures through this technique enhances patient safety outcomes.