>Year 2010, Issue 3
Montalvo-Javé EE, Hernández MBI, Ortiz HV
Prevalence of iatrogenic bile duct injury
Cir Gen 2010; 32 (3)
PDF: 4. Kb.
Objective: To know the prevalence of bile duct injury during open or laparoscopic cholecystectomy.
Setting: General Hospital of Mexico, third level health care center.
Design: Retrospective, descriptive, transversal.
Statistical analysis: Central tendency measures and Fisher’s and Yate’s exact probability.
Patients and methods: We included all open and laparoscopic cholecystectomies performed from January 3007 to December 2009. Analyzed variables were: prevalence of injury, location and type of injury according to Bismuth’s classification, surgical approach related to the injury and their comparison.
Results. During the study period, 4201 cholecystectomies were performed, 2,521 were open and 2,680 were laparoscopic. Three (0.07%) injuries were identified. Two cases corresponded to type II of Bismuth and one to type I. The three cases corresponded to open cholecystectomies. Comparison revealed no significant differences (p › 0.05).
Conclusion: Prevalence of bile duct injury is very low; the open surgery was the one to present bile duct injuries.
||Bile duct injury, laparoscopic cholecystectomy, complications.
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>Year 2010, Issue 3