Documentación fotográfica durante la colecistectomía laparoscópica segura

Bolívar-Rodríguez, Martín Adrián; Pamanes-Lozano, Adrián; Matus-Rojas, Jaime; Cázarez-Aguilar, Marcel Antonio; Fierro-López, Rodolfo

doi:10.24875/ciru.m18000028

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…The highest incidence is found in the female gender, elderly subjects, patients with overweight or obesity as well as in those undergoing surgery with resection of the terminal ileum, sudden or progressive weight loss, use of some drugs such as cephalosporins third generation and with the presence of hematological diseases. 1 Different variants to take into account influence the treatment of this pathological entity such as the origin of the stones, their location, quantity, general condition of the patient, impaction and size, the latter being an independent predictive factor. 2 It is called giant choledocholithiasis once the largest diameter of the stone is equal to or greater than 15 mm.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography in giant lithiasis of the bile tract: case report and literature review

et al. 2021

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In Mexico, the prevalence of biliary disease is 8.5% in men and 20.5% in women. Choledocholithiasis is a frequent clinical entity, predominantly in females and with well-defined risk factors. Obstruction of the bile duct due to stones is called giant choledocholithiasis when the largest diameter of the stone is greater than 15 mm. Endoscopic treatment fails in up to 88% of cases of giant choledocholithiasis. The authors presented the case of a patient suffering from giant choledocholithiasis, of 9 years of evolution, with an endoprosthesis, successfully treated by ERCP (endoscopic retrograde cholangiopancreatography). The selection of patients who will undergo this type of procedure must be careful, multidisciplinary management is essential to maintain the optimal conditions possible for each case, since the risks are usually high, it is a fact that the diameter of the distal bile duct it is the most important predictive factor when selecting the diameter of the balloon to use, since excessive dilation increases the risk of perforation.

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Section: Introductionmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography in giant lithiasis of the bile tract: case report and literature review

et al. 2021

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It’s time for a minimum synoptic operation template in patients undergoing laparoscopic cholecystectomy: a systematic review

et al. 2022

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Background Despite the call to enhance accuracy and value of operation records few international recommended minimal standards for operative notes documentation have been described. This study undertook a systematic review of existing operative reporting systems for laparoscopic cholecystectomy (LC) to fashion a comprehensive, synoptic operative reporting template for the future. Methods A search for all relevant articles was conducted using PubMed version of Medline, Scopus and Web of Science databases in June 2021, for publications from January 1st 2011 to October 25th 2021, using the keywords: laparoscopic cholecystectomy AND operation notes OR operative notes OR proforma OR documentation OR report OR narrative OR audio-visual OR synoptic OR digital. Two reviewers (NOC, GMC) independently assessed each published study using a MINORS score of ≥ 16 for comparative and ≥ 10 for non-comparative for inclusion. This systematic review followed PRISMA guidelines and was registered with PROSPERO. Synoptic operative templates from published data were assimilated into one “ideal” laparoscopic operative report template following international input from the World Society of Emergency Surgery board. Results A total of 3567 articles were reviewed. Following MINORS grading 25 studies were selected spanning 14 countries and 4 continents. Twenty-two studies were prospective. A holistic overview of the operative procedure documentation was reported in 6/25 studies and a further 19 papers dealt with selective surgical aspects of LC. A unique synoptic LC operative reporting template was developed and translated into Chinese/Mandarin, French and Arabic. Conclusion This systematic review identified a paucity of publications dealing with operative reporting of LC. The proposed new template may be integrated digitally with hospitals’ medical systems and include additional narrative text and audio-visual data. The template may help define new OR (operating room) recording standards and impact on care for patients undergoing LC.

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Aplicación de la maniobra de Strasberg como técnica para evitar lesiones inmediatas de vía biliar durante la colecistectomía laparoscópica en el hospital clínico Viedma y el instituto gastroenterológico boliviano japonés. cochabamba 2018 a 2021

Porcu

Torrejón

2023

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La cirugía mínimamente invasiva es el Gold standard para realizar una colecistectomía; El objetivo del estudio es demostrar y establecer la efectividad de la Maniobra de Strasberg en pacientes sometidos a colecistectomía laparoscópica para evitar una lesión inmediata de vía biliar. Material y métodos: estudio observacional, prospectivo, analítico, transversal realizado en el Hospital clínico Viedma y el instituto de gastroenterología boliviano japones en la ciudad de Cochabamba durante 2018 y 2021. Fueron 311 pacientes sometidos a colecistectomía laparoscópica en quienes se aplicó un score de puntuación propuesto por Strasberg evaluando la disección del triángulo de Calot durante cada colecistectomía laparoscópica. Resultados: Se identificó 11 casos con lesiones yatrogénicas de vía biliar intraoperatorias asociados a una mala disección de las estructuras del triángulo de Calot. Se realizó la asociación de variables “Critical View” y “lesión de vía biliar” obteniendo un riesgo relativo (RR) de 0.056 con un intervalo de confianza al 95% denotando que la aplicación de la visión crítica de seguridad en la colecistectomía laparoscópica constituye un factor protector para evitar complicaciones intraoperatorias como lesiones de vía biliar. Conclusiones: La lesión de vías biliares durante la colecistectomía laparoscópica es provocada por una identificación errónea de las estructuras biliares. La realización de la Visión Critica de Seguridad es ideal para registrar una correcta disección del triángulo de Calot, identificando adecuadamente las estructuras involucradas, permitiendo reducir las lesiones intraoperatorias de vía biliar

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Documentación fotográfica durante la colecistectomía laparoscópica segura

Abstract: Recording Doublet photography provides a reliable CVS dissection criterion. It can be easily reproduced during laparoscopic cholecystectomy. The identification of cystic structures adds to the culture of safety during laparoscopic cholecystectomy.

Cited by 3 publications

References 11 publications

Endoscopic retrograde cholangiopancreatography in giant lithiasis of the bile tract: case report and literature review

Endoscopic retrograde cholangiopancreatography in giant lithiasis of the bile tract: case report and literature review

It’s time for a minimum synoptic operation template in patients undergoing laparoscopic cholecystectomy: a systematic review

Aplicación de la maniobra de Strasberg como técnica para evitar lesiones inmediatas de vía biliar durante la colecistectomía laparoscópica en el hospital clínico Viedma y el instituto gastroenterológico boliviano japonés. cochabamba 2018 a 2021

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