How to minimise bile duct injury in laparoscopic cholecystectomy

Background: most commonly used technique for laparoscopic cholecystectomy i.e.,infundibular technique allows for circumferential dissection of cystic duct and gall bladder junction which creates a flaring tunnel shape. aim: to evaluate cvs(critical view of safety)in laparoscopic cholecystectomy. place: aadil hospital and avicenna medical college and hospital bedian road lahore. methods: a retrospective analysis of a 2 year practice in our surgical unit has been conducted. we routinely practiced cvs cholecystectomy. patients having previous abdominal surgery,recurrent chronic disease,possible bile duct stones and liver disease were excluded. results: there were total of 120 patients in this study. 81(67.5%) females and 39 (32.5%) males who had surgery following cvs technique. 34 (28.3%) had acute/chronic cholecystitis or dense adhesions. conclusion: cvs should be achieved before applying clips. in case of difficulty in achieving the desired objective one should consider cholangiography or conversion to open cholecystectomy.