Standard laparoscopic cholecystectomy
Achieving the Critical View of Safety and establishing the an imaginary Line of Safety
- This video describes a standard approach for laparoscopic cholecystectomies with ideal anatomy. In laparoscopic cholecystectomy, the safest and best approach to identify the structures of the Triangle of Calot is to achieve the Critical View of Safety (CVS).
- The Triangle of Calot is also known as the cystohepatic triangle. It is bounded by the inferior surface of the liver, the cystic duct, and the common hepatic duct.
- To achieve CVS, the Triangle of Calot must be clearly dissected, the lowest part of the gallbladder must be separated from the cystic plate, and only two structures should be seeing entering the gallbladder - the cystic artery and the cystic plate.
This video was a collaboration project with Dr. Shiva Jayaraman at St. Joseph's Health Centre.