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  Vol. 144 No. 10, October 2009 TABLE OF CONTENTS
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Patient Safety in Laparoscopic Cholecystectomy

Brij B. Agarwal, MBBS, MS, Dip Yoga, FIMSA

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Fluorescent cholangiography improves outcomes of LC.1 Fluorescent cholangiography is a welcome addition to the surgical tools available for the "new world of patient safety,"2 helping to deliver the best to all patients, all the time. Bile duct injury–prevention strategies focus on avoiding misidentification of biliary anatomy owing to misperception. Structured granting of professional privileges, judicious avoidance of energized dissection, and the systems approach have helped,3 but the risk of human error2 due to spatial disorientation leading to psychoheuristic cognitive ambiguity continues to haunt the BDI-fearing surgeon.4 Risk of error is high in LC because the operator does not manipulate reality directly but works from images.4 This video-perceptive illusion, ie, error of perception from working indirectly, is disastrous. Even minor errors may result in BDI. Fluorescent cholangiography neither needs additional resources (besides an optic filter) nor increases the invasiveness of LC.1 Fluorescent cholangiography . . . [Full Text of this Article]


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RELATED LETTERS

Fluorescent Cholangiography Using Indocyanine Green for Laparoscopic Cholecystectomy: An Initial Experience
Takeaki Ishizawa, Yasutsugu Bandai, and Norihiro Kokudo
Arch Surg. 2009;144(4):381-382.
EXTRACT | FULL TEXT  

Patient Safety in Laparoscopic Cholecystectomy—Reply
Takeaki Ishizawa, Yasutsugu Bandai, and Norihiro Kokudo
Arch Surg. 2009;144(10):979.
EXTRACT | FULL TEXT  

RELATED ARTICLE

New World of Patient Safety: 23rd Annual Samuel Jason Mixter Lecture
Lucian L. Leape
Arch Surg. 2009;144(5):394-398.
EXTRACT | FULL TEXT  






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