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Cirujano general
Print version ISSN 1405-0099
Abstract
YARY MAESTRACCI, Samuel Mauricio et al. Experience in the surgical management of bile duct lithiasis in the Surgery Service I of the Ruiz y Páez University Hospital Complex. Cir. gen [online]. 2021, vol.43, n.2, pp.97-106. Epub Dec 05, 2022. ISSN 1405-0099. https://doi.org/10.35366/106720.
Objective:
To determine the experience in the surgical management of bile duct lithiasis in the Surgery Service I of the Ruiz y Páez University Hospital Complex, January 2017-October 2019.
Material and methods:
It was a prospective, field, analytical and cross section.
Results:
The most frequent postoperative diagnosis was gallbladder lithiasis with 70.20% cases, in 65.38% of patients clips were used as surgical management of cholelithiasis, of the total of patients with laparoscopic cholecystectomy 89.10%, the approach the most common abdominal cavity was, in patients with pneumoperitoneum insufflation through a Veress needle plus conventional trocars 80.45%; most of the patients had a hospital stay between 24 to 48 hours with 83.01%; in patients with laparoscopic cholecystectomy (n = 278) 94.60%, did not present complications; the surgical mortality associated with biliary pathology only appeared in one patient with laparoscopic cholecystectomy, represented by 0.32% of the total.
Conclusions:
The surgical experience in laparoscopic surgery makes this operative technique the best alternative in the treatment of vesicular disease with an acute course due to a lower risk of complications and a rate of recoverability in less time.
Keywords : Surgical management; cholelithiasis; bile duct lithiasis.