Resumen

ZAMORA SANTANA, Orlando et al. Bile duct injures from laparoscopic cholecystectomy. Rev Cubana Cir [online]. 2013, vol.52, n.1, pp. 33-40. ISSN 0034-7493.

Introduction: On February 1991 the first laparoscopic cholecistectomy (LC) was performed in Cuba. Despite the benefits of this approach, bile ducts injuries (BDI) seem to be more frequent. Objective: To describe the behavior of the bile duct injuries in six hospitals located in 5 provinces throughout the country so as to detect deficiencies to be corrected. Methods: A retrospective, multicenter and descriptive study of 27 bile duct injuries on 17288 LC performed in 6 university hospitals throughout the country. The primary data was collected through a 13 point-questionnaire applied to every injured patient, and equal for all the centers. Results: The percentage of BDI in this series was low (0.15 %). In 59.2 % of cases, the diagnosis was made postoperatively and almost 63 % were severe Strasberg's type E lesions. The most used repair techniques were bile digestive derivations, but lesions identified transoperatively were in most of the cases treated with ''T'' tube repairs. Major complications occurred in 25.9 % of patients. Conclusions: The percentage of lesions in our study is low, but they were mostly severe. The postsurgical stenosis was mainly related with the wrong selection of the primary repair technique.

Palabras clave : Laparoscopic cholecistectomy; bile duct injuries.