Verification of Use of the Critical View of Safety Technique during Laparoscopic Cholecystectomy in a Rural Hospital: A Retrospectivse Study

Abstract Background: Cholelithiasis is the most popular biliary illness and one of the extremely common causes of abdominal pain as it is present in 10-15% of the overall individuals. Though it is asymptomatic in most of them (>80%); virtually, 1-2% of asymptomatic patients will develop symptoms neces-sitating cholecystectomy annually; making cholecystectomy the furthermost common operation performed by general surgeons. Aim of Study: This study aimed in this study to verify the use of the critical view of safety during laparoscopic chole-cystectomy in a rural hospital regarding the efficacy of the technique, difficulties during of the technique and baiout techniques, operative time and postoperative outcome at early learning curve for safe cholecystectomy. Patients and Methods: A retrospective study conducted in Kafr El sheikh General Hospital during the period from 1 January 2019 to 1 January 2020. This study included 500 patients who presented with symptomatic cholelithiasis who had underwent laparoscopic cholecystectomy under general anesthesia using Critical View of Safety (CVS) as standardized technique and bailout tecniques in difiicult cases. Results: There were 20 (4%) of cases were found to have been falling in the age group (20-30) years, 200 (40%) of them were falling in the age group (31-40), 220 (44%) had an age ranged between (41-50) years, whereas 60 (12%) of patients were in the age group 51-60 years, The mean age was 41.82±7.65 years. In this study, 170 males (34%) and 330 female (66%) were recruited, with the mean body mass index was 29.8, acheivement of CVS was (84%), conversion to open as bailout technique were 40(8%), subtotal cholecys-tectomy as abailout technique were 30 cases (6%), fundus first technique as abailout technique were 7 cases (1.4%), tube cholecystostomy as abailout technique were 3 cases (0.6%). Conclusion: This study concluded that Critical View of Safety is the safest technique for recognizing the biliary anatomy during laparoscopic cholecystectomy and it is asso-ciated with a significant impact in preventing intraoperative complications and post operative major complication.