دورية أكاديمية
Comparative analysis of iatrogenic injury of biliary tract in laparotomic and laparoscopic cholecystectomy.
| العنوان: | Comparative analysis of iatrogenic injury of biliary tract in laparotomic and laparoscopic cholecystectomy. |
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| المؤلفون: | Fortunato AA; Departament of Surgery, Hospital Ipiranga UGA-II, São Paulo, SP, Brazil., Gentile JK; Departament of Surgery, Hospital Ipiranga UGA-II, São Paulo, SP, Brazil., Caetano DP; Departament of Surgery, Hospital Ipiranga UGA-II, São Paulo, SP, Brazil., Gomes MA; Departament of Surgery, Hospital Ipiranga UGA-II, São Paulo, SP, Brazil., Bassi MA; Departament of Surgery, Hospital Ipiranga UGA-II, São Paulo, SP, Brazil. |
| المصدر: | Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery [Arq Bras Cir Dig] 2014 Nov-Dec; Vol. 27 (4), pp. 272-4. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English; Portuguese |
| بيانات الدورية: | Publisher: Colégio Brasileiro de Cirurgia Digestiva Country of Publication: Brazil NLM ID: 9100283 Publication Model: Print Cited Medium: Internet ISSN: 2317-6326 (Electronic) Linking ISSN: 01026720 NLM ISO Abbreviation: Arq Bras Cir Dig Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: São Paulo, Brasil : Colégio Brasileiro de Cirurgia Digestiva Original Publication: São Paulo, Brasil : Disciplina de Cirurgia do Aparelho Digestivo do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, |
| مواضيع طبية MeSH: | Cholecystectomy, Laparoscopic* , Laparotomy*, Biliary Tract/*injuries , Cholecystectomy/*methods , Intraoperative Complications/*epidemiology, Adult ; Aged ; Cohort Studies ; Humans ; Iatrogenic Disease ; Middle Aged ; Retrospective Studies |
| مستخلص: | Background: Iatrogenic injury to the bile ducts is the most feared complication of cholecystectomy and several are the possibilities to occur. Aim: To compare the cases of iatrogenic lesions of the biliary tract occurring in conventional and laparoscopic cholecystectomy, assessing the likely causal factors, complications and postoperative follow-up. Methods: Retrospective cohort study with analysis of records of patients undergoing conventional and laparoscopic cholecystectomy. All the patients were analyzed in two years. The only criterion for inclusion was to be operative bile duct injury, regardless of location or time of diagnosis. There were no exclusion criteria. Epidemiological data of patients, time of diagnosis of the lesion and its location were analyzed. Results: Total of 515 patients with gallstones was operated, 320 (62.1 %) by laparotomy cholecystectomy and 195 by laparoscopic approach. The age of patients with bile duct injury ranged from 29-70 years. Among those who underwent laparotomy cholecystectomy, four cases were diagnosed (1.25 %) with lesions, corresponding to 0.77 % of the total patients. No patient had iatrogenic interventions with laparoscopic surgery. Conclusion: Laparoscopic cholecystectomy compared to laparotomy, had a lower rate of bile duct injury. |
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| تواريخ الأحداث: | Date Created: 20150129 Date Completed: 20151001 Latest Revision: 20181113 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC4743220 |
| DOI: | 10.1590/S0102-67202014000400010 |
| PMID: | 25626937 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2317-6326 |
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| DOI: | 10.1590/S0102-67202014000400010 |