Surgical Injury of the Biliary Tract in Residents: Experience of a University Training Center View PDF

Lucas M Garcias
Medicine, National Clinical Hospital, National University Of Córdoba, Córdoba, Argentina

Published on: 2024-11-01

Abstract

Bile duct surgical injury is a dangerous complication of cholecystectomy, with significant postoperative sequelae for the patient in terms of morbidity, mortality and quality of life. These have an estimated laparoscopic incidence of 0.4% to 1.5% and 0.2% to 0.3% in conventional cholecystectomy. The aim of this study was to evaluate the incidence of LQVB during surgeon training and the importance of performing intraoperative cholangiography (IOC) during this stage

Keywords

Laparoscopic Cholecystectomy, Cholangiography, Bile ducts injury

Introduction

Gallstones are a very common problem in the daily practice of a general surgeon, so much so that currently, 10 to 15% of the adult population in developed countries has cholelithiasis, although the prevalence varies widely according to ethnic, socioeconomic, gender and geographic aspects [1].

Surgical bile duct injury (SBI) is a dangerous complication of cholecystectomy, with important postoperative sequelae for the patient in terms of morbidity, mortality and quality of life. These have an estimated incidence of 0.4 to 1.5% by laparoscopy and 0.2 to 0.3% in conventional cholecystectomy [2].

The objective of this study is to evaluate the incidence of SBI during the training of the surgeon and the importance of performing cholangiography during this stage.