Abstract

RELEVANCE OF A DETACHED OBSERVER IN LAPAROSCOPIC CHOLECYSTECTOMY: AN OBSERVATIONAL STUDY

Mohd Riyaz Lattoo*, Majid Mirab, M. Shafi Khaki and Nadeem Rashid

ABSTRACT

Bile duct injury is one of the most feared complication of laparoscopic cholecystectomy. Many strategies have been proposed to minimise the incidence of such injuries. In this study we evaluated the role of a bystander surgeon as a detached observer during laparoscopic cholecystectomy for prevention of bile duct injuries. The study was conducted at a district hospital. 382 patients underwent laparoscopic cholecystectomy with a bystander surgeon present during all procedures. None of the patients had a bile duct injury. From this study we concluded that presence of detached observer during laparoscopic cholecystectomy can be a correctional measure aided to prevent a bile duct injury.

Keywords: Laparoscopic cholecystectomy, Bile duct injury, Bystander surgeon, Detached observer.