Laparoscopic cholecystectomy critical view of safety (LC-CVS): a multi-national validation study of an objective, procedure-specific assessment using video-based assessment (VBA).

Gina Adrales¹, Francesco Ardito², Pradeep Chowbey³, Salvador Morales-Conde⁴, Alberto R Ferreres⁵, Chrys Hensman⁶, David Martin⁷, Hanno Matthaei⁸, Bruce Ramshaw^9,10, J Keith Roberts¹¹, Harald Schrem¹², Anil Sharma³, Stephen Tabiri¹³, Eric Vibert¹⁴, Michael S Woods¹⁰

¹Johns Hopkins University School of Medicine, 600 N. Wolfe St., Blalock 618, Baltimore, MD, 21287, USA. gadrale1@jhmi.edu.

²Hepatobiliary Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Catholic University, Rome, Italy.

³Institute of Laparoscopic, Endoscopic and Bariatric Surgery, Max Super Specialty Hospital, Saket, New Delhi, India.

⁴Unit of Innovation in Minimally Invasive Surgery, University Hospital Virgen del Rocío, University of Sevilla, Sevilla, Spain.

⁵Department of Surgery, University of Buenos Aires, Buenos Aires, Argentina.

⁶Department of Surgery & LapSurgery, Monash University, Melbourne, Australia.

⁷Division of Critical Care/Acute Care Surgery, University of Minnesota, Minneapolis, MN, USA.

⁸Department of Surgery, University Medical Center, Bonn, Germany.

⁹CQInsights PBC, Knoxville, TN, USA.

¹⁰Caresyntax Corporation, Boston, MA, USA.

¹¹Liver Transplant and HPB Surgery, University Hospitals Birmingham NHS Trust, Birmingham, UK.

¹²General, Visceral and Transplant Surgery, Medical University Graz, Graz, Austria.

¹³University for Development Studies-School of Medicine and Health Sciences, Tamale Teaching Hospital, Tamales, Ghana.

¹⁴Centre Hépato-Biliaire, Paul Brousse Hospital, AP-HP, Villejuif, France.

PubMed DOI

Abstract

BACKGROUND: A novel 6-item objective, procedure-specific assessment for laparoscopic cholecystectomy incorporating the critical view of safety (LC-CVS OPSA) was developed to support trainee formative and summative assessments. The LC-CVS OPSA included two retraction items (fundus and infundibulum retraction) and four CVS items (hepatocystic triangle visualization, gallbladder-liver separation, cys…

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