Escape options when the Critical View of Safety cannot be obtained

This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by L Michael Brunt during the Masters Biliary: Help! Severe Acute Cholecystitis – How to Recognize, And What To Do! on April 14 2018

Keyword(s): age, anatomy, bail-out procedures, BDI, Belgium, BIF, bile duct, bile duct injury, bile leak, biliary inflammatory fusion, biliary injury, bipolar, cholecystostomy tube, colon, community practice, conservative management, contracted gallbladder, contrast, conversion, critical view of safety, CT scan, CVS, cystic duct, damage control, death, delphi, difficult cholecystectomy, difficult gallbladder, dissection, dome, drain, drain tube, duodenum, early detection, electrosurgery, endoscopic technique, energy source, escape options, experience, fenestrating cholecystectomy, fistula, Foley, gallstone, gallstones, hemostasis, hepatocystic triangle, ICG, imaging, indications, indocyanine green, intraoperative cholangiogram, IOC, lap chole, laparoscope, laparoscopic approach, laparoscopic cholecystectomy, male, Malecot catheter, masters biliary, Mirizzi syndrome, monopolar, Nationwide Inpatient Sample, neck, Netherlands, NIS, omentum, open cholecystectomy, radiopaque sponge, reconstituting cholecystectomy, reconstruction, retained stones, retrospective study, right upper quadrant, risk, RUQ, safe cholecystectomy program, safe cholecystectomy task force, safety, severe acute cholecystitis, severe chronic cholecystitis, skin, stapler, stone retrieval, subtotal cholecystectomy, Swedish Gallriks database, symptoms, tertiary center, ultrasonic energy, uncontrolled bleeding, white blood cell count, World Journal of Surgery, wound infection

SAGES Safe cholecystectomy program–37 sec World J Surg 2015

Imaging–2:01 BMJ 2012

ICG–2:31

Conditions associated with a difficult cholecystectomy–3:01

Severe chronic cholecystitis–3:31

What to do when the CVS can’t be reached–4:19

Conversion to open cholecystectomy–4:47 Surg Endosc 2012

JACS 2016

Subtotal cholecystectomy video clip–10:08

Citations–12:12 Surg Endosc 2012

JAMA Surg 2015

JACS 2017