Masters Biliary: Bile Duct Injury Prevention, Management, and Impact 
A safe cholecystectomy is one that is safe for both the patient (no bile duct/hollow viscus/vascular injury) and for the operating surgeon (no or minimal scope for litigation). An economic health care burden of nearly one billion dollars is associated with these catastrophic complications. The best way to avoid this health care cost is investing in educating surgeons to adopt a safe, reproducible technique surgical designed to minimize BDI possibilities. The Critical View of Safety (CVS) approach has been recognized as the most effective method of preventing BDI as reported in many recent studies, but surgeons have not been using it frequently. Surgeons best interest should be incorporating the CVS in the routine practice of laparoscopic cholecystectomy. At the conclusion of this session participants should be able to identify the importance of immediate morbidity, higher mortality, decreased quality of life, and decreased long term survival associated with Bile Duct Injuries (BDI), and that the importance of performing a Safe Cholecystectomy cannot be underemphasized.
Objectives
- Recognize the health care and socio-economical relevance of bile duct injuries.
- Implement operative and preoperative strategies to perform a safe cholecystectomy.
- Prioritize the adoption of a culture of safe cholecystectomy and implement the Critical View of Safety technique when performing laparoscopic cholecystectomy.
Current Schedule
| Speaker | Title | Times |
|---|---|---|
| Eduardo Moreno-Paquentin Chair |
Chair | - |
| Lygia Stewart Co-Chair |
Co-Chair | - |
| Dimitrios Stefanidis Speaker |
Impact of Bile Duct Injuries and Prevalence | 1:30 pm - 1:40 pm |
| Lygia Stewart Speaker |
Human Factors and Bile Duct Injuries | 1:40 pm - 1:50 pm |
| Nicole Bouvy Video Presenter |
Train to Prevent | 1:50 pm - 2:00 pm |
| Lygia Stewart Speaker |
Acute Cholecystitis, Risk of Bile Duct Injury, Strategies for Risk Mitigation | 2:00 pm - 2:10 pm |
| Lygia Stewart Speaker |
Can I Predict the `Difficult Cholecystectomy`? I am in Trouble: Exit Strategies | 2:10 pm - 2:20 pm |
| Eduardo Moreno-Paquentin Speaker |
Global and Community Considerations Regarding Bile Duct Injury Prevention | 2:20 pm - 2:30 pm |
| Elisa Cassinotti Video Presenter |
Intra-operative Imaging Modalities for Bile Duct Injury Prevention (Contrast Cholangiography and ICG? When?) | 2:30 pm - 2:40 pm |
| L. Michael Brunt Speaker |
The Safe Technique for Cholecystectomy: Intra-operative Strategies if a Bile Duct Injury is Suspected – I Think there is a Bile Duct Injury – Now What? | 2:40 pm - 2:50 pm |
| W. Helton Speaker |
Management of Bile Duct Injuries (Pre-op and Operative Planning): Endoscopic Management Re-do Surgery, How to Diagnose a CBD Injury in the Post-op, How to Expedite Safe Management | 2:50 pm - 3:00 pm |
| All Panelists |
Panel Discussion, Q&A | 3:00 pm - 3:30 pm |