Abstract

FERNANDEZ SANTIESTEBAN, Llipsy et al. Lesiones de la vía biliar en cirugía laparoscópica: Análisis de 10 años de trabajo. Rev Cubana Cir [online]. 2003, vol.42, n.4, pp. 0-0. ISSN 1561-2945.

5 558 patients operated on by minimal invasive surgery at "Hermanos Ameijeiras" Clinical and Surgical Hospital were studied. The most frequent causes of lesion and the conduct to be followed in every type of lesion were determined. 11 patients with lesions of the main biliary tract (0.20 %) were reported. According to Ballesta's topographic classification, there were 6 type I lesions, 3 type II lesions, and 2 type III lesions. There was no transoperative diagnosis in 4 patients and 2 of them (18,2 %) died due to complications secondary to this cause. The rest received the definitive treatment in the own surgical act. Hepp´s technique was recommended to treat the total sections of the choleduchus, whereas the placement of Kehr´s T-tube was suggested to treat the partial injuries. The primary suture could only used exceptionally

Keywords : GALLBLADDER [surgery]; CHOLECYSTECTOMY, LAPAROSCOPIC; IATROGENIC DISEASE.