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Malwinder Singh et al
          on identification of RS before commencement of dissec-    5.  Reynolds W Jr. The first laparoscopic cholecystectomy. JSLS
          tion of Calot’s triangle and keeping the dissection above   2001 Jan-Mar;5(1):89-94.
          the level of sulcus to establish CVS before clipping and     6.  Meyer G, Hutti TP. Laparoscopic surgery in Europe: develop-
                                                                  ment and education. Surg Endosc 2001 May;15(3):229-231.
          transection of cystic duct.                           7.  Maestroni U, Sortini D, Devito C, Pour Morad Kohan Brunaldi F,
             Although achievement of CVS is widely accepted,      Anania G, Pavanelli L, Pasqualucci A, Donini A. A new
          there are little data about the significance of RS. We   method of preemptive analgesia in laparoscopic cholecys-
          created CVS in 100 patients after identifying RS. The   tectomy. Surg Endosc 2002 Sep;16(9):1336-1340.
          incidence of bile duct injury among these patients was     8.  Strasberg SM, Hertl M, Soper NJ. An analysis of the problem
          zero, based on clinical features. Our study has shown   of biliary injury during laparoscopic cholecystectomy. J Am
                                                                  Coll Surg 1995 Jan;180(1):101-125.
          that the dreadful complications of biliary tract injuries     9.  Strasberg SM, Eagon CJ, Drebin JA. The “hidden cystic duct”
          can be avoided which greatly reduces the morbidity and   syndrome and the infundibular technique of laparoscopic
          mortality associated with it.                           cholecystectomy—the danger of the false infundibulum.
             Our results should encourage additional studies to   J Am Coll Surg 2000 Dec;191(6):661-667.
          reduce the complications of laparoscopic cholecystecto-    10.  Hugh TB, Kelly MD, Mekisic A. Rouviere’s sulcus: a useful
                                                                  landmark in laparoscopic cholecystectomy. Br J Surg 1997
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          The results obtained in our study demonstrate that     11.  Hugh TB. New strategies to prevent laparoscopic bile duct
          laparoscopic cholecystectomy has lesser incidence of    injury—surgeons can learn from pilots. Surgery 2002 Nov;132(5):
          biliary tract injury according to the technique mentioned   826-835.
          in this study.                                        12.  Auyang ED, Hungness ES, Vaziri K, Martin JA, Soper NJ.
                                                                  Natural orifice translumenal endoscopic surgery (NOTES):
                                                                  dissection for the critical view of safety during transcolonic
          CONCLUSION                                              cholecystectomy. Surg Endosc 2009 May;23(5):1117-1118.
                                                                13.  Litwin DE, Cahan MA. Laparoscopic cholecystectomy. Surg
          Rouviere’s sulcus is an important anatomical landmark   Clin North Am 2008 Dec;88(6):1295-1313.
          to increase the safety of laparoscopic cholecystectomy.    14.  Heistermann HP, Tobusch A, Palmes D. Prevention of bile
             Achievement of CVS should be tried in all laparo-    duct injuries after laparoscopic cholecystectomy. “The critical
          scopic cholecystectomy. The result obtained by our study   view of safety”. Zentralbl Chir 2006 Dec;131(6):460-465.
          demonstrates that laparoscopic cholecystectomy is even     15.  Yegiyants S, Collins JC. Operative strategy can reduce the
                                                                  incidence of major bile duct injury in laparoscopic cholecys-
          safer in terms of biliary tract injuries after identification   tectomy. Am Surg 2008 Oct;74(10):985-987.
          of RS and achievement of CVS.                         16.  Avgerinos C, Kelgiorgi D, Touloumis Z, Baltatzi L, Dervenis C.
                                                                  One thousand laparoscopic cholecystectomies in a single
          ReFeReNCeS                                              surgical unit using the “critical view of safety” technique.
                                                                  J Gastrointest Surg 2009 Mar;13(3):498-503.
            1.  Portincasa P, Moschetta A, Palasciano G. Cholesterol gallstone     17.  Sanjay P, Fulke JL, Exon DJ. Critical view of safety as an
              disease. Lancet 2006 Jul;368(9531):230-239.         alternative to routine intraoperative cholangiography during
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              1979 Nov-Dec;64(6):63-78.                           Gastrointest Surg 2010 Aug;14(8):1280-1284.
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              Mouret, March 17, 1987. JSLS 2008 Jan-Mar;12(1):109-111.  lecystectomy: initial experience with critical view of safety
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              Endosc 1992;6:113-114.                              Coll Surg 2010 Jul,211(1):1-7.























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