The critical view of safety during laparoscopic cholecystectomy: Strasberg Yes or No? An Italian Multicentre study
- Sgaramella L. I.
- Gurrado A.
- Pasculli A.
- de Angelis N.
- Memeo R.
- Prete F. P.
- Berti S.
- Ceccarelli G.
- Rigamonti M.
- Badessi F. G. A.
- Solari N.
- Milone M.
- Catena F.
- Scabini S.
- Vittore F.
- Perrone G.
- de Werra C.
- Cafiero F.
- Testini M.
- Baiocchi G. L.
- Baldazzi G.
- Battocletti M.
- Bertoglio S.
- Bianco P.
- Bugiantella W.
- Ciaccio G.
- Cobianchi L.
- Conzo G.
- Crespi M.
- De Rosa M.
- Di Meo G.
- Docimo L.
- Fabris L.
- Feleppa C.
- Ferraro V.
- Fontana T.
- Gambardella C.
- Gennai A.
- Guida F.
- Invernizzi L.
- Massobrio A.
- Medas F.
- Monaco L.
- Muntoni G.
- Musella M.
- Palombo D.
- Perinotti R.
- Pertile D.
- Pezzolla A.
- Piccirillo G.
- Polastri R.
- Ruggiero R.
- Scatizzi M.
- Somaglino C.
- Tolone S.
- Traverso E.
- Tutino R.
- Valduga C.
- Zuolo M.
DOIAbstract
Background: Laparoscopic cholecystectomy is considered the gold standard for the treatment of gallbladder lithiasis; nevertheless, the incidence of bile duct injuries (BDI) is still high (0.3–0.8%) compared to open cholecystectomy (0.2%). In 1995, Strasberg introduced the "Critical View of Safety" (CVS) to reduce the risk of BDI. Despite its widespread use, the scientific evidence supporting this technique to prevent BDI is controversial. Methods: Between March 2017 and March 2019, the data of patients submitted to laparoscopic cholecystectomy in 30 Italian surgical departments were collected on a national database. A survey was submitted to all members of Italian Digestive Pathology Society to obtain data on the preoperative workup, the su...
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