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.
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