Manejo quirúrgico de las lesiones de la vía biliar tras una colecistectomía en el hospital regional docente las Mercedes de Chiclayo durante el período 2015 -2023
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Date
2023-12-18
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Universidad Nacional de Trujillo
Abstract
La lesión de la vía biliar tras la colecistectomía sigue siendo una complicación grave con importantes implicaciones para la evolución del paciente, afectan a la calidad de vida, la supervivencia global del paciente y da lugar a problemas médico legales posteriores.
La colecistectomía laparoscópica se ha convertido en el estándar para el tratamiento de la litiasis vesicular tanto en su condición electiva como de emergencia; pero este procedimiento no está exento de complicaciones y la más temida, es la lesión de los conductos biliares. Conocer su diagnóstico y tratamiento ayudará a prevenir su ocurrencia, así como conocer el manejo quirúrgico y las opciones de tratamiento disponibles.
Se identificarán las modalidades más idóneas de diagnóstico en pacientes con lesiones de vías biliares con las que se describirán los tipos de lesiones y las estrategias de reparación de las mismas.
Bile duct injury after cholecystectomy remains a serious complication with important implications for patient outcomes, affecting quality of life and overall patient survival and leading to subsequent medical-legal problems. Laparoscopic cholecystectomy has become the standard for the treatment of gallstones both in elective and emergency situations; but this procedure is not free of complications and the most feared is bile duct injury. Knowing its diagnosis and treatment will help prevent its occurrence, as well as knowing the surgical management and treatment options available. The most suitable diagnostic modalities in patients with bile duct injuries will be identified, and the types of injuries and strategies for their repair will be described.
Bile duct injury after cholecystectomy remains a serious complication with important implications for patient outcomes, affecting quality of life and overall patient survival and leading to subsequent medical-legal problems. Laparoscopic cholecystectomy has become the standard for the treatment of gallstones both in elective and emergency situations; but this procedure is not free of complications and the most feared is bile duct injury. Knowing its diagnosis and treatment will help prevent its occurrence, as well as knowing the surgical management and treatment options available. The most suitable diagnostic modalities in patients with bile duct injuries will be identified, and the types of injuries and strategies for their repair will be described.
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Keywords
Lesión de la Vía Biliar, Colecistectomía Laparoscópica, Complicación