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>Journals >Cirujano General >Year 2011, Issue 1


Gutiérrez PJO, Medina GP, Ortiz RSF, Lozano CHE
Bile duct injuries: prevalence in patients subjected to laparoscopic cholecystectomy in a Specialties Hospital
Cir Gen 2011; 33 (1)

Language: Español
References: 20
Page: 38-42
PDF: 4. Kb.


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ABSTRACT

Objective: To know the prevalence of injury to the bile duct by laparoscopic cholecystectomy and to compare this with the international prevalence of 0.4% to 0.6%.
Setting: Specialties Hospital of Mexico City “Dr. Belisario Domínguez”.
Design: Retrospective, transversal, observational, and descriptive study.
Statistical analysis: Percentages as summary measure for qualitative variables.
Material and methods: We studied the clinical records of the patients subjected to laparoscopic cholecystectomy from 2005 to 2008 at the General Surgery Service.
Results: During the four years, 532 laparoscopic cholecystectomies were performed in patients of either gender, aged from 15 to 89 years. We identified three patients with bile duct injury (0.56%). In two, the injury consisted of a complete section of the choledocus and the third patient presented cystic conduct stump bile leak. Repair consisted of termino-terminal choledocus-choledocus anastomosis with placement of a catheter in T, and ligature of the cystic conduct stump in the third patient. One (33.3%) of the three patients died, two (66%) presented complications after bile duct repair.
Conclusions: Frequency of injury to the bile duct in patients during laparoscopic cholecystectomy at the Specialties Hospital “Dr. Belisario Domínguez” was of 0.56%, which is similar to that reported in the literature.


Key words: Bile duct, laparoscopic cholecystectomy, iatrogenic injury.


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>Journals >Cirujano General >Year 2011, Issue 1
 

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