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Comparative Study of Critical View of Safety vs Infundibular Technique in Laparoscopic Cholecystectomy.

Title: Comparative Study of Critical View of Safety vs Infundibular Technique in Laparoscopic Cholecystectomy.
Authors: yousfani, Zubair Ahmed; das, Khenpal; Atta, Jabeen; memon, Muhammad Anwar; yousfani, Muhammad Hanzala; yousfani, Muhammad Ammar
Source: Cuestiones de Fisioterapia; 2025, Vol. 54 Issue 4, p6443-6449, 7p
Subject Terms: Surgical complications; Bile ducts; Statistical significance; Medical sciences; Treatment effectiveness; Cholecystectomy
Abstract: Background: Laparoscopic cholecystectomy is the standard procedure for treating gallbladder diseases. Ensuring the safety of this procedure is paramount, with the Critical View of Safety (CVS) and Infundibular techniques being two prominent methods for identifying and securing the cystic duct and artery. Comparative studies on the efficacy and safety of these techniques are limited. Aim: This study aimed to compare the Critical View of Safety and Infundibular techniques in laparoscopic cholecystectomy, focusing on operative time, intraoperative complications, and postoperative outcomes. Methods: This comparative study was conducted at Department of Surgery Liaquat University of Medical and health sciences, Jamshoro, from November 2023 to October 2024, involving 60 patients who underwent elective laparoscopic cholecystectomy. Patients were equally divided into two groups: those undergoing the CVS technique (Group A) and those using the Infundibular technique (Group B). Data on operative time, bile duct injuries, bleeding, and postoperative recovery were recorded and analyzed. Results: The study revealed that the CVS technique had a significantly lower incidence of bile duct injuries (1.7%) compared to the Infundibular technique (6.7%). The mean operative time was slightly longer in the CVS group (55 ± 8 minutes) than in the Infundibular group (50 ± 7 minutes), but the difference was not statistically significant. Postoperative recovery was faster in the CVS group, with fewer cases of prolonged hospital stays and better pain management outcomes. Conclusion: The Critical View of Safety technique demonstrated superior safety and comparable efficacy to the Infundibular technique in laparoscopic cholecystectomy. Its application is recommended for reducing the risk of bile duct injuries and improving patient recovery outcomes. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index