Abstract

MEDEROS CURBELO, Orestes Noel; BARRERA ORTEGA, Juan Carlos; GARCIA SIERRA, Juan Carlos  and  DEL CAMPO ABAD, Roberto. Validity of open biliary surgery. Rev Cubana Cir [online]. 2014, vol.53, n.1, pp.84-89. ISSN 0034-7493.

At present times, the formation of surgeons in the field of biliary surgery has increased training in laparoscopic cholecystectomy and reduced training in open surgery which is necessary for the surgical conversion possibilities and the presence of complex cases. The objective of this article was to present a scientific discussion about the importance of the formation of specialists in complex biliary surgery, on the basis of a specific clinical case. This is the case of a woman with a history of complex upper abdomen surgery comprising liver resection and repair of the abdominal aorta, the duodenum and the stomach. The patient presented with complicated biliary lithiasis that forced the physicians to perform open biliary surgery; the result was satisfactory. Laparoscopic cholecystectomy is a safe and effective procedure in lithiasis and alithiasis cholecystopathy whereas open or traditional cholecystectomy remains as an alternative to the former. However, it is indispensable to provide basic formative training in open cholecystectomy, not only because of potential surgical conversion but because of likelihood of situations similar to the one presented here.

Keywords : minimal invasive surgery; complex biliary surgery; professional formation.

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