{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T12:12:34Z","timestamp":1778069554573,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study aimed to see the percentage of achievability of Critical View of Safety (CVS), using a doublet photograph technique in a tertiary care center, and identify factors beyond the surgeon in terms of the gender, age, socioeconomic status, and pathology of the disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective observational study analyzed 356 laparoscopic cholecystectomy cases performed by 2 experienced surgeons (&gt;500 cases). A validated scoring system assessed three CVS criteria: identification of two structures connected to the gallbladder, the cystic plate, and hepatocytic triangle clearance. CVS was deemed satisfactory with a mean score \u22655.0, evaluated intraoperatively by the surgeon and independently scored by another. Patients\u2019 socioeconomic status was measured by the modified Kuppuswamy scale, and intraoperative findings were correlated with CVS attainment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The CVS was attained in 56.64% of cases. Socioeconomic status showed a weak association with CVS achievement (Cram\u00e9r\u2019s V = 0.155,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .073), with lower-class patients disproportionately represented in the \u201cNo CVS\u201d group (residual = 1.73). Intraoperative factors significantly impacted CVS attainment, with short cystic ducts, large stones at the neck, and severe adhesions reducing success rates. Acute cholecystitis (\u03b2 = \u22121.40,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) and empyema (\u03b2 = \u22121.66,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) negatively impacted CVS, while blue\/dull gallbladder (\u03b2 = + 1.10) improved it.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The attainability of the CVS using the doublet photograph technique is low, with satisfactory CVS achieved in only slightly more than half of cases. Despite experienced surgeons, patient-related factors and intraoperative difficulties\u2014particularly acute cholecystitis, empyema, and severe adhesions\u2014significantly limited CVS attainment. These findings indicate that the doublet photograph technique alone is insufficient to reliably ensure CVS, emphasizing the need for early intervention and adjunctive safety strategies during difficult cholecystectomies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261430299","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T16:45:48Z","timestamp":1773247548000},"page":"384-389","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Critical View of Safety in Laparoscopic Cholecystectomy: Prospective Evaluation Using Doublet Photography"],"prefix":"10.1177","volume":"36","author":[{"given":"Probal","family":"Neogi","sequence":"first","affiliation":[{"name":"Department of General Surgery, MLNMC, Prayagraj, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suyash","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of General Surgery, MLNMC, Prayagraj, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishna","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of General Surgery, MLNMC, Prayagraj, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishal","family":"Kewlani","sequence":"additional","affiliation":[{"name":"Department of General Surgery, MLNMC, Prayagraj, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2449-5514","authenticated-orcid":false,"given":"Pankaj","family":"Kumar","sequence":"additional","affiliation":[{"name":"Deptartment of General Surgery, AIIMS Bhubaneswar, Bhubaneswar, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003791"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-021-00369-w"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.02.053"},{"issue":"1","key":"e_1_3_8_5_1","first-page":"101","article-title":"An analysis of the problem of biliary injury during laparoscopic cholecystectomy","volume":"180","author":"Strasberg SM","year":"1995","unstructured":"4.Strasberg SM, , Hertl M, , Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg. 1995;180(1):101\u2013125.","journal-title":"J Am Coll Surg."},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2021.04.017"},{"key":"e_1_3_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000001127"},{"key":"e_1_3_8_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59081491"},{"key":"e_1_3_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.11.003"},{"key":"e_1_3_8_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_600_21"},{"key":"e_1_3_8_11_1","doi-asserted-by":"publisher","DOI":"10.33545\/surgery.2022.v6.i1b.830"},{"key":"e_1_3_8_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.946917"},{"key":"e_1_3_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-08093-3"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261430299","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429261430299","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261430299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T11:18:59Z","timestamp":1778066339000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429261430299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,1]]}},"alternative-id":["10.1177\/10926429261430299"],"URL":"https:\/\/doi.org\/10.1177\/10926429261430299","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]}}}