cgi241b-T2

Table 2: Safety strategies.

Strategies for anatomical orientation

Critical Safety Overview

B-SAFE

Rouviere’s groove

R4U

Second transoperative opinion

Intraoperative imaging techniques

Conventional transoperative cholangiography

Infrared fluorescence cholangiography (indocyanine green)

Intraoperative ultrasound

Subtotal cholecystectomy

Reconstituted

Fenestrated

Conversion

In cases in which tactile discrimination allows the resolution of doubts regarding anatomy

Fundus first

It has been associated with an increased risk of vasculobiliary lesions, so it is only recommended in exceptional cases

Delayed cholecystectomy

In cases where a safe procedure is not possible, it may be aborted, and the patient may be referred to another level of care with more expertise and resources

R4U = Rouvière sulcus segment 4.

Table 2: Safety strategies.
Strategies for anatomical orientation	Critical Safety Overview B-SAFE Rouviere’s groove R4U Second transoperative opinion
Intraoperative imaging techniques	Conventional transoperative cholangiography Infrared fluorescence cholangiography (indocyanine green) Intraoperative ultrasound
Subtotal cholecystectomy	Reconstituted Fenestrated
Conversion	In cases in which tactile discrimination allows the resolution of doubts regarding anatomy
Fundus first	It has been associated with an increased risk of vasculobiliary lesions, so it is only recommended in exceptional cases
Delayed cholecystectomy	In cases where a safe procedure is not possible, it may be aborted, and the patient may be referred to another level of care with more expertise and resources
R4U = Rouvière sulcus segment 4.