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.
- 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.