Abstract

GUTIERREZ PEREZ, Jorge Octavio; MEDINA GARCIA, Pablo; ORTIZ REYES, Sergio Fernando  and  LOZANO CERVANTES, Hiram Efraín. Bile duct injuries: prevalence in patients subjected to laparoscopic cholecystectomy in a Specialties Hospital. Cir. gen [online]. 2011, vol.33, n.1, pp.38-42. ISSN 1405-0099.

Objective: To know the prevalence of injury to the bile duct by laparoscopic cholecystectomy and to compare this with the international prevalence of 0.4% to 0.6%. Setting: Specialties Hospital of Mexico City ''Dr. Belisario Domínguez''. Design: Retrospective, transversal, observational, and descriptive study. Statistical analysis: Percentages as summary measure for qualitative variables. Material and methods: We studied the clinical records of the patients subjected to laparoscopic cholecystectomy from 2005 to 2008 at the General Surgery Service. Results: During the four years, 532 laparoscopic cholecystectomies were performed in patients of either gender, aged from 15 to 89 years. We identified three patients with bile duct injury (0.56%). In two, the injury consisted of a complete section of the choledocus and the third patient presented cystic conduct stump bile leak. Repair consisted of termino-terminal choledocus-choledocus anastomosis with placement of a catheter in T, and ligature of the cystic conduct stump in the third patient. One (33.3%) of the three patients died, two (66%) presented complications after bile duct repair. Conclusions: Frequency of injury to the bile duct in patients during laparoscopic cholecystectomy at the Specialties Hospital ''Dr. Belisario Domínguez'' was of 0.56%, which is similar to that reported in the literature.

Keywords : Bile duct; laparoscopic cholecystectomy; iatrogenic injury.

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