Incidencia de lesión de vías biliares en un hospital universitario: análisis de más de 1.600 colecistectomías laparoscópicas

Serna, Juan Carlos Morales; Patiño, Sara; Buriticá, Melissa; Osorio, Érika; Morales, Carlos; Toro, Juan Pablo

doi:10.30944/20117582.97

Cited by 2 publications

(2 citation statements)

References 30 publications

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“…El empleo de la cirugía laparoscópica para el tratamiento de las patologías de vesícula biliar tiene un gran impacto positivo, ya que disminuye los días de estancia hospitalaria, existe menor dolor postoperatorio y presenta mejores resultados a nivel estético [17]; sin embargo, es uno de los mayores predisponentes para lesión de vía biliar, presentando una incidencia entre el 0.3% y 1.5% a nivel mundial en comparación a la cirugía abierta con 0.1 -0.25% [17]. Otros estudios indican cifras de 0.5% en los sometidos a cirugía laparoscópica y 0.2-0.3% en el procedimiento abierto [18,19].…”

Section: Discussionunclassified

Lesión y reparación de la vía biliar: Serie de casos desde 1989 hasta 2020

Piedra¹,

León²,

León³

et al. 2022

Rev Med HJCA

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BACKGROUND: The benign lesion of the bile duct is a complication of difficult diagnosis and treatment; which has increased due to the use of laparoscopic cholecystectomy (LC) in the management of cholecystolithiasis. Rates of 0.2 to 0.4% of bile duct injuries have been reported, becoming a significant cause of mortality at the time of repair. METHODS: This is an observational, descriptive study, a retrospective case series, based on primary sources of information. The universe of the study are the patients who underwent surgery for bile duct injury from 1989 to 2020, in a private clinic in the city of Cuenca-Ecuador. RESULTS: In more than 30 years, 24 bile duct injury repairs were performed, which occurred: 6 during conventional surgery and 18 during laparoscopic surgery. 54.2% of the lesions occurred less than two centimeters from the confluence of the hepatic ducts. 58.4% of lesions were repaired with Roux-en-Y anastomosis. Antibiotic therapy and drainage were administered to 100% of the patients; 45.83% of the drains placed were tubular drains. 70.8% of the patients didn´t have complications after the repair procedure; the complications that occurred are: bilioma, fistulas, stenosis, cholangitis. CONCLUSION: In most patients who had bile duct injury, the injury occurred during laparoscopic surgery. The injury was most often located less than two centimeters from the confluence of the hepatic ducts. The most frequently performed repair procedure was the Roux-en-Y anastomosis. The most frequent complication after repair was cholangitis.

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Section: Discussionunclassified

Lesión y reparación de la vía biliar: Serie de casos desde 1989 hasta 2020

Piedra¹,

León²,

León³

et al. 2022

Rev Med HJCA

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“…Cholecystectomy ranks among one of the most common surgical procedures, with approximately 60,000 cases carried out annually in Colombia alone, and it is the most common laparoscopic procedure [1]. Despite its frequency, bile duct lesions represent a significant and concerning complication following both open and laparoscopic cholecystectomy, with an estimated incidence ranging from 0.1% to 0.92%, being more frequent in the latter group [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Magnetic Resonance Cholangiography Diagnosing Post-cholecystectomy Biliary Injuries

Florez Leguia,

Muñoz-Caicedo,

Lopera Valle

et al. 2024

Cureus

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Objective: This study aimed to determine the diagnostic performance of contrasted magnetic resonance cholangiography for detecting bile duct lesions following cholecystectomy. Materials and methods: A retrospective case series study was conducted that included patients over 18 years of age with suspected bile duct injury after cholecystectomy, who underwent contrasted magnetic resonance cholangiography, and who also had endoscopic retrograde cholangiopancreatography, surgery, or subsequent clinical follow-up. The images were interpreted by two radiologists who assigned the type of lesion according to the Strasberg classification. Qualitative variables were represented by frequencies and proportions, while quantitative variables were described using measures of central tendency and dispersion. Sensitivity, specificity, and predictive values were assessed, along with interobserver variability, using the kappa index. Results: We included 20 patients with a median age of 51.5 years (interquartile range: 35), and 14 (70%) were women. In all 20 patients, lesions were identified on magnetic resonance cholangiography, of which 19 were confirmed with the gold standard for a positive predictive value of 100% (hepatobiliary-specific contrast agents) and 92% (extracellular contrast). The most frequent lesions were Strasberg E2 and E4 in five patients each. The kappa index was 1 in determining the presence or absence of bile duct injury and 0.9 in the Strasberg classification. Conclusion: Contrasted magnetic resonance cholangiography is a method with high positive predictive value and almost perfect interobserver agreement for diagnosing bile duct lesions after cholecystectomy.

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Incidencia de lesión de vías biliares en un hospital universitario: análisis de más de 1.600 colecistectomías laparoscópicas

Cited by 2 publications

References 30 publications

Lesión y reparación de la vía biliar: Serie de casos desde 1989 hasta 2020

Lesión y reparación de la vía biliar: Serie de casos desde 1989 hasta 2020

Magnetic Resonance Cholangiography Diagnosing Post-cholecystectomy Biliary Injuries

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