Ríos-Hernández N, Guerrero-Avendaño GML

Language: Spanish
References: 11
Page: 46-52
PDF size: 788.55 Kb.

ABSTRACT

Introduction: Today, laparoscopic cholecystectomy is the gold standard in treatment of cholelithiasis. The risk of lesion to the bile duct during laparoscopic cholecystectomy has increased due to the position and exposure of anatomical structures of the extrahepatic bile ducts.
Objective: To determine the most common type of lesion of the bile duct using the Bismuth classification in patients who have previously undergone laparoscopic cholecystectomy, referred to the interventionist radiology service, who underwent percutaneous cholangiography, because it is a safe and effective procedure indicated for evaluation of the bile duct and in cases where necessary may be therapeutic.
Method: We conducted a retrospective search in the storage system (Picture Archiving and Communication System), Carestream, Version 11, for patients with percutaneous cholangiography, referred with lesion of the bile duct due to laparoscopic cholecystectomy at Hospital General de Mexico from March 2016 to February 2017.
Results: In our study of a total of 54 percutaneous cholangiographies performed at the interventionist radiology service due to iatrogenic lesion of the bile duct, based on the Bismuth classification, the most common lesion was type III, followed by types II, I, and IV respectively.
Conclusions: Lesions of the bile duct have increased due to the preference for laparoscopic cholecystectomy over open surgery, and percutaneous cholangiography remains the ideal method for staging and viewing such lesions over magnetic resonance cholangiography.

REFERENCES

1. Carroll B. Iatrogenic bile duct injuries. J Am Col Surg. 2017;224:373.

2. Jablonska B, Lampe P. Iatrogenic bile duct injuries: etiology, diagnosis and management. World J Gastroenterol. 2009;5:4097-104.

3. Ghassemi KF, Shah JN. Postoperative bile duct injuries. Tech Gastrointest Endosc. 2006;8:81-91.

4. Espino-Cortés H. Lesiones iatrogénicas de las vías biliares. Tratamiento endoscópico. Rev Gastroenterol Mex. 2007;72(Suppl 2):144-7.

5. Kaffes AJ, Hourigan L, De Luca N, Byth K, Williams SJ, Bourke MJ. Impact of endoscopic intervention in 100 patients with suspected postcholecystectomy bile leak. Gastrointest Endosc. 2005;61:269-75.

6. Chun K. Recent classifications of the common bile duct injury. Korean J Hepatobiliary Pancreat Surg. 2014;18:69-72.

7. Ruiz Gómez F, Ramia Ángel JM, García-Parreño Jofré J, Figueras J. Lesiones iatrogénicas de la vía biliar. Cir Esp. 2010;88:211-21.

8. Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Col Surg. 1995;180:101-25.

9. Davidoff AM, Pappas TN, Murray EA, Hilleren DJ, Johnson RD, Baker ME, et al. Mechanisms of major biliary injury during laparoscopic cholecystectomy. Ann Surg. 1992;215:196-202.

10. Karanikas M, Bozali F, Vamvakerou V, Markou M, Memet Chasan ZT, Efraimidou E, et al. Biliary tract injuries after lap cholecystectomy-types, surgical intervention and timing. Ann Transl Med. 2016;4:163.

11. Parquet G, Ortiz S, Samaniego C, Giménez A. Drenaje biliar percutáneo: técnica, indicaciones y resultados. An Fac Cienc Med (Asunción). 2005;38:61-7.