Prevalencia de las lesiones quirúrgicas de la vía biliar post colecistectomía y determinación de sus factores asociados, Hospital Vicente Corral Moscoso 1994-2010

Abstract

The surgeries that involve the bilious tract every day are more frequent, this with the population increase makes that the lesions also increase in frequency and this associates to different related factors between the anatomy, the technique and the personnel who carries out it.

Objective: To determine the prevalence of the lesions of the bilious tract post cholecystectomy during the period 1994 to 2010 and the association with factors of risk.

Methods I study descriptive traverse of the prevalence and analytic of a surgical lesion of bilious tract according to: sex, age, type of agreement, lesion with the classification of Bismuth, surgeon's experience, concomitant local pathology, type of cholecystectomy, anatomical variant, intervention of urgency and hour of the intervention.

Results: The prevalence of lesions of the bilious tract in the last 16 years reached 0.92%. The age stocking was about 44.56 years, the sex more prevalent was the feminine one with 79.6%, the lesion Bismuth type II were the most frequent, the specialist it was the surgeon in most of the cases, 55.6% of the cases was with boarding laparoscopic, in 59.1% the surgery was of urgency, the most frequent anatomical variant was in the artery, most of the surgeries were carried out in the morning. The masculine sex was the most affected, the conventional boarding it represents an enhanced risk for lesions of the bilious tract

Conclusions: The prevalence of lesions of the bilious tract during the last 16 years reached 0.92%, the most frequent lesion it was the type Bismuth II.

KEYWORDS: CHOLECYSTECTOMY, BILIOUS TRACT, SURGICAL INJURY, FACTORS, BISMUTH.