THE CRITICAL VIEW OF SAFETY PREVENTS THE APPEARANCE OF BILIARY INJURIES? ANALYSIS OF A SURVEY

ABSTRACT Background: The risk of bile duct injury (BDI) during cholecystectomy remains a concern, despite efforts proposed for increasing safety. The Critical View of Safety (CVS) has been adopted promoting to reduce its risk. Aim: To perform a survey to assess the awareness of the CVS, estimating...

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Main Authors: Mariano Eduardo GIMÉNEZ, Eduardo Javier HOUGHTON, Manuel E. ZELEDÓN, Mariano PALERMO, Pablo ACQUAFRESCA, Caetano FINGER, Edgardo SERRA
Format: Article
Language:English
Published: Colégio Brasileiro de Cirurgia Digestiva 2018-07-01
Series:ABCD: Arquivos Brasileiros de Cirurgia Digestiva
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000200305&tlng=pt
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author Mariano Eduardo GIMÉNEZ
Eduardo Javier HOUGHTON
Manuel E. ZELEDÓN
Mariano PALERMO
Pablo ACQUAFRESCA
Caetano FINGER
Edgardo SERRA
author_facet Mariano Eduardo GIMÉNEZ
Eduardo Javier HOUGHTON
Manuel E. ZELEDÓN
Mariano PALERMO
Pablo ACQUAFRESCA
Caetano FINGER
Edgardo SERRA
author_sort Mariano Eduardo GIMÉNEZ
collection DOAJ
description ABSTRACT Background: The risk of bile duct injury (BDI) during cholecystectomy remains a concern, despite efforts proposed for increasing safety. The Critical View of Safety (CVS) has been adopted promoting to reduce its risk. Aim: To perform a survey to assess the awareness of the CVS, estimating the proportion of surgeons that correctly identified its elements and its relationship with BDI. Methods: An anonymous online survey was sent to 2096 surgeons inquiring on their common practices during cholecystectomy and their knowledge of the CVS. Results: A total of 446 surgeons responded the survey (21%). The percentage of surgeons that correctly identified the elements of CVS was 21.8% and 24.8% among surgeons claiming to know the CVS. The percentage of surgeons that reported BDI was higher among those that incorrectly identified the elements of the CVS (p=0.03). In the multivariate analysis, career length was the most significant factor related to BDI (p=0.002). Conclusions: The percentage of surgeons that correctly identified the Critical View of Safety was low, even among those who claimed to know the CVS. The percentage of surgeons that reported BDI was higher among those that incorrectly identified the elements of the CVS.
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spelling doaj.art-bb624ffa5e24494b8d66a536b88702c52022-12-22T04:09:22ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202018-07-0131210.1590/0102-672020180001e1380THE CRITICAL VIEW OF SAFETY PREVENTS THE APPEARANCE OF BILIARY INJURIES? ANALYSIS OF A SURVEYMariano Eduardo GIMÉNEZEduardo Javier HOUGHTONManuel E. ZELEDÓNMariano PALERMOPablo ACQUAFRESCACaetano FINGEREdgardo SERRAABSTRACT Background: The risk of bile duct injury (BDI) during cholecystectomy remains a concern, despite efforts proposed for increasing safety. The Critical View of Safety (CVS) has been adopted promoting to reduce its risk. Aim: To perform a survey to assess the awareness of the CVS, estimating the proportion of surgeons that correctly identified its elements and its relationship with BDI. Methods: An anonymous online survey was sent to 2096 surgeons inquiring on their common practices during cholecystectomy and their knowledge of the CVS. Results: A total of 446 surgeons responded the survey (21%). The percentage of surgeons that correctly identified the elements of CVS was 21.8% and 24.8% among surgeons claiming to know the CVS. The percentage of surgeons that reported BDI was higher among those that incorrectly identified the elements of the CVS (p=0.03). In the multivariate analysis, career length was the most significant factor related to BDI (p=0.002). Conclusions: The percentage of surgeons that correctly identified the Critical View of Safety was low, even among those who claimed to know the CVS. The percentage of surgeons that reported BDI was higher among those that incorrectly identified the elements of the CVS.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000200305&tlng=ptLaparoscopic cholecystectomyBiliary duct injuryCritical view of safety.
spellingShingle Mariano Eduardo GIMÉNEZ
Eduardo Javier HOUGHTON
Manuel E. ZELEDÓN
Mariano PALERMO
Pablo ACQUAFRESCA
Caetano FINGER
Edgardo SERRA
THE CRITICAL VIEW OF SAFETY PREVENTS THE APPEARANCE OF BILIARY INJURIES? ANALYSIS OF A SURVEY
ABCD: Arquivos Brasileiros de Cirurgia Digestiva
Laparoscopic cholecystectomy
Biliary duct injury
Critical view of safety.
title THE CRITICAL VIEW OF SAFETY PREVENTS THE APPEARANCE OF BILIARY INJURIES? ANALYSIS OF A SURVEY
title_full THE CRITICAL VIEW OF SAFETY PREVENTS THE APPEARANCE OF BILIARY INJURIES? ANALYSIS OF A SURVEY
title_fullStr THE CRITICAL VIEW OF SAFETY PREVENTS THE APPEARANCE OF BILIARY INJURIES? ANALYSIS OF A SURVEY
title_full_unstemmed THE CRITICAL VIEW OF SAFETY PREVENTS THE APPEARANCE OF BILIARY INJURIES? ANALYSIS OF A SURVEY
title_short THE CRITICAL VIEW OF SAFETY PREVENTS THE APPEARANCE OF BILIARY INJURIES? ANALYSIS OF A SURVEY
title_sort critical view of safety prevents the appearance of biliary injuries analysis of a survey
topic Laparoscopic cholecystectomy
Biliary duct injury
Critical view of safety.
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000200305&tlng=pt
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