关键词: Biliary injury Cholecystectomy Cholelithiasis Laparoscopic cholecystectomy Strasberg critical view Surgery Triangle of Calot Biliary injury Cholecystectomy Cholelithiasis Laparoscopic cholecystectomy Strasberg critical view Surgery Triangle of Calot

来  源:   DOI:10.5005/jp-journals-10018-1353   PDF(Pubmed)

Abstract:
UNASSIGNED: Every year, worldwide, the celebration for patient safety is carried out; since about 2.6 million people are documented who die each year from events that can potentially be avoided during their medical care, it is even estimated that around 15% of hospital costs can be attributed to treatment resulting in patient safety. As an important part of its dissemination in the medical-surgical community, we present the following article in relation to the critical vision of safety in the bile duct, promoted and published initially by Dr Steven Strasberg, which aims to reduce the number of complications during laparoscopic cholecystectomies.
UNASSIGNED: A bibliographic search was carried out in PubMed, Medline, Clinical Key, and Index Medicus. From May 2020 to July 2021 in Spanish and English with the following.
UNASSIGNED: Strasberg\'s critical view is a proposed strategy to minimize the risk to zero during laparoscopic gallbladder surgery. It consists of obtaining a plane in which the surgeon can visualize the anatomical structures that make up the bile duct, as well as its irrigation and drainage. Being able to clearly observe these structures allows the surgeon to cut freely and safely to avoid bile duct injuries which are not so uncommon during this procedure.
UNASSIGNED: Montalvo-Javé EE, Contreras-Flores EH, Ayala-Moreno EA, et al. Strasberg\'s Critical View: Strategy for a Safe Laparoscopic Cholecystectomy. Euroasian J Hepato-Gastroenterol 2022;12(1):40-44.
摘要:
每年,全世界,为患者安全举行庆祝活动;由于每年有大约260万人死于医疗期间可能避免的事件,据估计,大约15%的医院费用可以归因于治疗,从而提高患者的安全。作为其在医疗外科界传播的重要组成部分,我们提出了以下有关胆管安全的关键愿景的文章,最初由StevenStrasberg博士推广和出版,旨在减少腹腔镜胆囊切除术中的并发症。
在PubMed中进行了书目搜索,Medline,临床关键,和IndexMedicus。从2020年5月到2021年7月,西班牙语和英语版本如下。
Strasberg\的批判性观点是一种拟议的策略,可将腹腔镜胆囊手术期间的风险降至零。它包括获得一个平面,外科医生可以在其中可视化组成胆管的解剖结构,以及它的灌溉和排水。能够清楚地观察这些结构允许外科医生自由和安全地切割以避免胆管损伤,这在该过程中并不罕见。
Montalvo-JaveEE,孔特雷拉斯-弗洛雷斯EH,阿亚拉-莫雷诺EA,etal.Strasberg的批判性观点:安全腹腔镜胆囊切除术的策略。欧亚J肝胃肠病2022;12(1):40-44。
公众号