Resumo

RODRIGUEZ FERNANDEZ, Zenén et al. Updated knowledge about iatrogenic injuries of the biliary ducts. Rev Cubana Cir [online]. 2017, vol.56, n.3, pp. 1-18. ISSN 1561-2945.

With the so called "laparoscopic age", far from a decrease in the incidence of iatrogenic injuries of the biliary ducts, an increase has taken place, and others have been added that are not commonly present in conventional surgery and which are generally more serious and complex for their more proximal localization, their frequent association with vascular injury, and for the involved thermal mechanism. These injuries go beyond the scientific scope, and become a socioeconomic problem, since they not only damage the surgeon prestige and that of medical institutions where they work, or make healthcare services provided to the population more difficult based on the expenses, but also determine disability in ill patients and produce the loss of humans lives at productive ages. Inadequacies are shown in the identification and opportune repair of these injuries, as well as few reports in the medical literature about this topic. With this review, it is sought to deepen in the diverse updated cognitive aspects related to this regrettable surgical complication, and mainly for its prevention.

Palavras-chave : iatrogenic surgical injuries; surgery of the biliary ducts; conventional surgery; laparoscopic surgery; diagnosis; treatment; prevention; morbidity; mortality.

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