Abstract

GODDARD, Michelle et al. Prevalencia de complicaciones biliares en colecistectomias realizadas en el Hospital Miguel Pérez Carreño en el período 2006-2009. Gen [online]. 2010, vol.64, n.2, pp.108-113. ISSN 0016-3503.

Bile duct injuries occur in 0,2% to 1,4% of patients following laparoscopic cholecystectomy and, in 0,3% in open cholecystectomy. Endoscopic retrograde cholangiopancreatography (ERCP) has become a broadly useful therapeutic technique for the treatment of these lesions. The majority of bile duct injuries can be successfully treated endoscopically in 70-95% with ERCP. One thousand eighty-nine (1089) cholecystectomies have been performed in this institution during 2006-2009; 486 open and 600 laparoscopic cholecystectomies. Objective: To determine the prevalence of post-surgical bile duct injuries by ERCP, and the type of treatment performed, endoscopic or surgical. Methods: The clinical records and database of the Gastroenterology Division; carrying out a retrospective, transversal and descriptive study. The system used to determine the type of injury was the Amsterdam post-surgical bile duct injuries rating scale. Results: twenty (20) cases of bile duct injury following laparoscopic or conventional cholecystectomy were registered. Conventional cholecystectomy was performed in 50% of patients (N=10), laparoscopic in 40%. The mostfrequent biliary lesions were: type A in 35% (N=7), type B in 25% (N=5) and, type D in 30% (N06). Endoscopic sphincterotomy was performed in 70% of patients (N=14). Biliary prosthesis placement was performed in 55% (N=11) and, 20% (N=5) of the cases needed surgical treatment. Conclusions: The mostfrequent post-surgical bile duct injury was biliary lesion type A. Endoscopic treatment proved to be the most performed, and the treatment of choice.

Keywords : Laparoscopic cholecystectomy; endoscopic retrograde cholangiopancreatography; endoscopic sphincterotomy; post-surgical bile duct injury.