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2025, Number 4

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Acta Med 2025; 23 (4)

Percentage of identification of the critical view of safety in postoperative laparoscopic cholecystectomy patients depending on the degree of inflammation with the Parkland grading scale

Contreras AA

Language: Spanish
References: 16
Page: 339-343
PDF size: 252.53 Kb.


ABSTRACT

Introduction: cholelithiasis is one of the most frequent diseases, with an incidence of 800,000 cases annually and a prevalence of 20% in men and 40% in women in Mexico. Laparoscopic cholecystectomy continues to be one of the most performed procedures each year. An increased risk of bile duct injury has been described compared to open cholecystectomy. As prevention, the critical view of safety (VCS) concept was introduced. The Parkland grading scale (PGS) classifies the severity of gallbladder inflammation. Objective: to know the percentage of critical view of safety identification according to the Parkland degree of inflammation. Material and methods: a retrospective, cross-sectional study was carried out that included 100 postoperative laparoscopic cholecystectomy patients. The VCS and PGS described in the postoperative note of the clinical record after the surgical procedure were documented. Results: VCS was identified in 88% of cases, PGS grade 1 (93.9%), grade 2 (100%), grade 3 (86.7%), grade 4 (58.3%) and grade 5 (75%). Conclusion: it was seen that the higher the degree of PGS, the lower the identification of VCS.


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