Primjena metode identifikacije struktura Stevena Strassberga kod laparoskopskih kolecistektomija i smanjenje rizika od teških ozljeda žučnih vodova

professional thesis

• Title (english): Application of Steven Strasberg's identification method of structures in laparoscopic cholecystectomies and reducing the risk of major bile duct injuries
• Author: Igor Vrga
• Mentor: Marko Sever (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2024-03-25, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Laparoskopska kolecistektomija je jedna od najizvođenijih operacija u abdominalnoj kirurgiji u svijetu.Omogućuje rani oporavak i povratak svakodnevnim aktivnostima te je prihvaćena kao zlatni standard.Laparoskopska kolecistektomija i dalje ima višlju razinu ozljeda žučnih vodova (0.3-0,6%) nego kod otvorenih kolecistektomija (0.2 %).Rješenje za smanjivanje ozljeda žučnih vodova ponudio nam je Steven Strassberg sa suradnicima 1995 g. razvojem metode identifikacije cistične arterije i duktusa cistikusa koju naziva “critical view of safety”(CVS).Cilj ovog pregleda literature je ukazati na efikasnost metode identifikacije cistične arterije i duktusa cistikusa Stevena Strassberga u smanjivanju teških ozljeda bilijarnih struktura klasificiranih kao Strasberg D-E.Preglednim radom je obuhvaćeno 5150 laparoskopskih kolecistektomija gdje je “CVS” postignut na 4717 (91.59%).Na 5150 laparoskopskih
kolecistektomija došlo je do 2 teške ozljede žučnih vodova klasificirane kao Strassberg D(0.038%).Pregledom literature došlo se do zaključka kako “CVS” metoda identifikacije struktura Calotovog trokuta Stevena Strassberga osigurava niže postotke teških ozljeda žučnih vodova(Strassberg D-E) (44,24).

Abstract (english)

Laparoscopic cholecystectomy is one of the most performed operations in abdominal surgery worldwide.It enables early recovery and return to daily activities and is accepted as the gold standard. Laparoscopic cholecystectomy still has a higher rate of bile duct injuries (0.3-0.6% ) than in open cholecystectomies (0.2%).The solution to reduction of bile duct injuries was offered by Steven Strassberg and colleagues in 1995. with method of identification of the cystic artery and cystic ductus,which is called "critical view of safety" (CVS).The aim of this literature review is to show the effectiveness of Steven Strassber’s a method of identifying cystic artery and cystic duct in reducing major bile duct injuries(Strassberg D-E).The literature review included 5150 laparoscopic cholecystectomies where "CVS" was achieved in 4717 (91.59%). Of the 5150 laparoscopic cholecystectomies, there were 2 major injuries to the bile ducts classified as Strassberg D (0.038%). The literature review concluded that the "CVS" method of identifying Calot's triangle structures by Steven Strassberg provides lower percentages of major bile duct injuries (Strassberg D-E) (44,24).

• Keywords: laparoskopska kolecistektomija (LCC); otvorena kolecistektomija (OC); CVS; Steven Strassberg; ozljede žučnih kanala (BDI); ozljede glavnog žučnog kanala; Strassberg D-E; "bail-out" postupci
• Keywords (english): laparoscopic cholecystectomy (LCC); open cholecystectomy (OC); ”critical view of safety” (CVS); Steven Strassberg; bile duct injuries (BDI); major bile duct injuries; Strassberg D-E; ”bail-out” procedures.
• Language: croatian
• URN:NBN: urn:nbn:hr:105:704316
• Study programme: Title: General surgery; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra opće kirurgije (sveučilišni/a magistar/magistra opće kirurgije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-04-24 11:45:41