Abstract

CLAROS, Nataniel; LAGUNA, Roger  and  PINILLA, Ramiro. INTRAOPERATIVE STRATEGIES TO AVOID BILE DUCT INJURY DURING LAPAROSCOPIC CHOLECYSTECTOMY. Rev. Méd. La Paz [online]. 2011, vol.17, n.1, pp.5-15. ISSN 1726-8958.

Aim: Identify strategies to prevent intraoperative bile duct injury during laparoscopic cholecystectomy. Methodological disegn: Sistematic review of the literature. Population: Sistematic search of medline using Mesh and Multi terms: [bile duct injury Multi], [laparoscopic cholecystectomy Mesh]. Results: We have identified 7 methods to avoid intraoperative bile duct injury during laparoscopic cholecystectomy. Critical View of Safety (CVS) is not only the most used, is part of all clinical guidelines too and the method accepted for most of the surgeons. The intraoperative cholangiography (IOC) is associated with lower bile duct injury, but it is not use routinely, it increases operating time and costs and training required for their interpretation. The laparoscopic intraoperative ultrasonography (LIU) is still little available and have a long learning curve. Other imaging systems are impractical and still on probation. Conclusion: The CVS is the safest and released to reduce the chance ofbile duct injury during laparoscopic cholecystectomy and should be done and undertaken systematical and routinely.

Keywords : Bile duct injury; Laparoscopic cholecystctomy; Intraoperative cholangiography.

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