BackgroundIatrogenic injury to the bile ducts is the most feared complication of
cholecystectomy and several are the possibilities to occur.AimTo compare the cases of iatrogenic lesions of the biliary tract occurring in
conventional and laparoscopic cholecystectomy, assessing the likely causal
factors, complications and postoperative follow-up.MethodsRetrospective cohort study with analysis of records of patients undergoing
conventional and laparoscopic cholecystectomy. All the patients were analyzed in
two years. The only criterion for inclusion was to be operative bile duct injury,
regardless of location or time of diagnosis. There were no exclusion criteria.
Epidemiological data of patients, time of diagnosis of the lesion and its location
were analyzed.ResultsTotal of 515 patients with gallstones was operated, 320 (62.1 %) by laparotomy
cholecystectomy and 195 by laparoscopic approach. The age of patients with bile
duct injury ranged from 29-70 years. Among those who underwent laparotomy
cholecystectomy, four cases were diagnosed (1.25 %) with lesions, corresponding to
0.77 % of the total patients. No patient had iatrogenic interventions with
laparoscopic surgery.ConclusionLaparoscopic cholecystectomy compared to laparotomy, had a lower rate of bile duct
injury.
Objectives: to comparatively study cases of iatrogenic lesions of bile ducts that occur during in conventional and videolaparoscopic cholecystectomies carried out in the General Surgery Service and Gastro-surgery at the Ipiranga Hospital UGA-II, evaluating their likely causal factors, complications, and postoperative follow-up. Method: this was a retrospective cohort study comparatively analyzing biliary lesions arising from the surgical procedure by the analysis of medical records of patients undergoing conventional (CC) and videolaparoscopic (CC-VLP) cholecystectomies within the period of two years (from 01/01/2010 to 12/31/2011).
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.