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DOI: 10.1055/a-1079-6060
Der „critical view of safety“ zur Vermeidung von Gallengangskomplikationen bei der laparoskopischen Cholezystektomie
The Critical View of Safety to Avoid Biliary Complications in Laparoscopic Cholecystectomy![](https://www.thieme-connect.de/media/zblchir/202004/lookinside/thumbnails/10-1055-a-1079-6060_zbc1567-1.jpg)
Zusammenfassung
Die laparoskopische Cholezystektomie ist eine der am häufigsten durchgeführten Operationen weltweit. Gerade aufgrund der hohen Fallzahlen bleibt die iatrogene Verletzung des Ductus choledochus, so selten sie ist, ein nicht zu unterschätzendes Risiko des Eingriffs. Im Laufe der Jahre wurden unterschiedliche Methoden beschrieben, diese schwerwiegende Komplikation mit ihrer hohen Morbidität und sogar Mortalität zu vermeiden. Eine der sichersten Methoden der Vermeidung von Gallengangsläsionen ist die Etablierung des sog. „critical view of safety“ vor Durchtrennung jeglicher Strukturen, der in diesem Lehrvideo demonstriert werden soll.
Abstract
Laparoscopic cholecystectomy is one of the most frequently performed procedures worldwide. Therefore, iatrogenic injury to the choledochal duct, although rare, remains a surgical risk that should not be underestimated. Over the years, various methods have been described to avoid this serious complication, with its high morbidity and even mortality. One of the safest methods to avoid bile duct lesions is to establish the so called “critical view of safety” before cutting any structures. This method shall be demonstrated in this instructional video.
Publication History
Article published online:
12 February 2020
© 2020. Thieme. All rights reserved.
Georg Thieme Verlag KG
Stuttgart · New York
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