CVS
Safe Laparoscopic Cholecystectomy
Major biliary or vasculobiliary injury is associated with significant morbidity. As prevention is the best strategy, the concept of a culture of safe cholecystectomy has been recently introduced...
Right Direct Inguinal Hernia Repair
This video case presents our surgical technique for laparoscopic inguinal hernia repair, detailing a step-by-step approach with surgical nuances and the novel "inverted Y" concept to achieve...
Two and Only Two Structures Should be Seen Entering...
Bile duct injury rates have increased since the introduction of laparoscopic cholecystectomy, occurring in about 3 per 1,000 procedures performed. Critical View of Safety (CVS) method of identification...
Critical View of Safety in Laparoscopic Cholecystectomy
To avoid vasculobiliary injuries, the Critical View of Safety (CVS) technique is strongly recommended during dissection of the hepatocystic triangle. It entails three basic steps as follows: (1) complete...
Calot's Dissection in Impacted Stone Close...
Inflamed gallbladder was dissected to attain critical view of safety.
Caterpillar (Moynihan’s) Hump Anomaly Encountered...
While performing laparoscopic cholecystectomy in a obese male of BMI 40, after obtaining critical view of safety, a large pulsating vessel presumed to be cystic arteries with overlying node was found....
The “Critical View of Safety” in Laparoscopic...
Surgical technique video: to avoid vasculobiliary injuries, the Critical View of Safety (CVS) technique is strongly recommended during dissection of the hepatocystic triangle. However, in such cases of...
Triple Arterial Blood Supply to the Gallbladder...
In the classic textbook description of hepatic artery anatomy, the common hepatic artery (CHA) arises from the celiac axis. The CHA then branches into the gastroduodenal artery and proper hepatic artery....
Avoiding Injuries - CVS
Making critical safety view a habbit in every case helps you in a difficult case, to avoid injuries.
Critical View of Safety in Acute Gangrenous Cholecystitis
Surgical video: laparoscopic cholecystectomy has a 0.3% to 0.5% morbidity rate due to major biliary injuries. The majority of surgeons have routinely performed the so-called “infundibular”...
Tunnel of PFO in 40 years old patient presented...
This video provides the tunnel of patent foramen ovale in 40 years old patient presented with CVS.
Critical View of Safety
The critical view of safety is a "window" crossed by two structures: the cystic duct and artery. This is achieved by exposing the base of the liver bed and dissecting Calot's triangle free of...
Acute Cholecystitis Impact of Blunt Dissection
In some cases, laparoscopic cholecystectomy (LC) may be difficult to perform in patients with acute cholecystitis (AC) with severe inflammation and fibrosis. The Tokyo Guidelines 2018 (TG18) expand the...
Critical View of Safty For Lap Cholecystectomy
Surgical video: critical view of safty for laparoscopic cholecystectomy is to identify the sulcus of rouvier and dissect above it, only two structures enter the GB, and dissect one-third of the cystic...
Critical View of Safety During Acute Cholecystitis
The cause of most major bile duct injuries is misidentification of ductal structures. In the “classical” injury, the common bile duct is thought to be the cystic duct and is divided. Division...