Initiating dissection to achieve the critical view of safety in minimally invasive cholecystectomy: A retrospective comparison of lower-end-first, Calot’s triangle-first and salvage approaches

Key Points

• This research aims to evaluate different dissection strategies for achieving the critical view of safety in cholecystectomy.
• Conducted a retrospective comparison of lower-end-first, Calot's triangle-first, and substantiated cholecystectomy approaches.
• Analyzed patient outcomes regarding the achievement of the critical view and safety metrics.
• Lower-end-first and Calot's triangle-first techniques consistently achieved the critical view safely.
• When standard methods failed due to inflammation, subtotal cholecystectomy was a successful alternative with no risk of bile duct injury (BDI).