Pérez-Torres E, García-Guerrero VA, Bernal-Sahagún F, Abdo-Francis JM, Murguía-Domínguez D, Dzib-Salazar J

Language: Spanish
References: 0
Page: 189-193
PDF size: 80.04 Kb.

ABSTRACT

Objective: We describe our experience in the management of biliary tract surgical lesions. Setting: Third-level health-care hospital. Material and Methods: Retrospective study, from January 1994 to December 1998. We analyzed clinical presentation, biochemical alterations, and imagenologic findings. We employed bismuth biliary tract lesion classification and describe surgical and non-surgical treatment. Results: Thirteen patients were found, nine women and four men, eight patients with traditional cholecystectomy and five laparoscopic cases. All four expressed obstructive jaundice. Ultrasonographic findings were corroborated by cholangiographic procedures, endoscopic (ERCP) or percutaneous. Five bismuth-II and one bismuth-I cases were treated with endoprothesis. A choledocal-duodenostomy was done in one bismuth-I patient; finally, six bismuth-II cases were treated with hepatoyeyunostomy. Conclusions: Biliary tract lesions with partial stenosis can be satisfactorily treated using biliary endoprothesis. Surgical treatment must be used in total stenosis.