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Patient Safety in Laparoscopic Cholecystectomy
Brij B. Agarwal, MBBS, MS, Dip Yoga, FIMSA
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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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] AUTHOR INFORMATION
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