Building a Safer OR: Establishing a Strong Safety Culture in Laparoscopic Cholecystectomy
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Safety culture is the foundation of every surgical practice at World Laparoscopy Hospital (WLH), and this commitment is most clearly seen in the approach to laparoscopic cholecystectomy—the world’s most commonly performed minimally invasive surgery. At WLH, safety is not limited to protocols; it is a mindset that begins with training, flows through the operating room, and continues into patient recovery. A key pillar of safety at WLH is standardization of surgical steps. Trainees and consultants follow globally accepted guidelines, such as the SAGES and Tokyo Guidelines, ensuring uniformity and minimizing variation. The hospital emphasizes the Critical View of Safety (CVS) as a mandatory step before clipping and cutting, reducing the risk of bile duct injuries—one of the most significant complications in gallbladder surgery. Advanced technologies further strengthen the safety framework. The routine use of high-definition laparoscopic systems, ICG fluorescence imaging, and mini-laparoscopic instruments helps surgeons visualize anatomy with exceptional clarity. These tools allow even complex cases, such as acute cholecystitis or aberrant anatomy, to be managed with precision. In addition to equipment and technique, WLH places strong focus on team communication and checklists. The WHO Surgical Safety Checklist is implemented before every case, and continuous two-way communication between surgeon, anesthesiologist, nurse, and OT staff ensures that potential hazards are identified early. Simulation-based training enables young surgeons to rehearse difficult scenarios before performing them on patients, cultivating confidence and reducing operative risks. Postoperative safety is equally prioritized. Enhanced recovery pathways, careful pain management, early mobilization, and structured follow-up help detect any complications at an early stage. Through its structured training, adherence to global standards, and its philosophy of continuous improvement, World Laparoscopy Hospital has created a safety culture that not only protects patients but also molds surgeons to carry these principles throughout their careers. In laparoscopic cholecystectomy, this culture becomes the foundation for achieving excellence with every procedure.
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