Abstract

MARTIN BOURRICAUDY, Norkys  and  GALVEZ TOLEDO, Osvaldo. Iatrogenic lesions of the biliary tract in laparoscopic surgery. A 10-year experience. Rev Cub Med Mil [online]. 2008, vol.37, n.4. ISSN 0138-6557.

Iatrogenic lesion of biliary tract is undoubtedly the most disastrous accident suffered by a patient during a laparoscopic cholecystectomy. It is a new disease generated by the surgeon that implies risks, sufferings and, at best, the patient becomes a "biliary cripple". Due to the significance of this problem, we made an analysis of 5 312 patients cholecystectomized by laparoscopic surgery in "Dr. Carlos J. Finlay" Central Military Hospital from May 1997 to May 2007.There were 22 biliary tract lesions, 12 of them were diagnosed and repaired during the surgical act. The recommended treatment was T-T anastomosis with placing of Kehr T- tube and biliodigestive bypass according to the type of lesion. Global mortality was of 0.06.

Keywords : Cholecystectomy; iatrogenic lesions; laparoscopic surgery; biliary tract lesion; biliary iatrogeny; repair.

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