Characterization of patients with surgical iatrogenic injuries of the biliary apparatus

Authors

  • Benjamín Micó Obama Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Santiago de Cuba, Cuba.
  • Walter Lizardo León Goire Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Santiago de Cuba, Cuba.
  • Danilo Romaguera Barroso Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Santiago de Cuba, Cuba.
  • Guido Alfonso Lozada Prado Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Santiago de Cuba, Cuba.
  • Zenén Rodríguez Fernández Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Santiago de Cuba, Cuba.

Keywords:

iatrogenic surgical injures, iatrogeny, surgery of biliary system, conventional surgery, laparoscopic surgery, morbidity, mortality

Abstract

A descriptive study of 35 surgically treated patients by means of conventional and laparoscopic techniques who presented iatrogenic injuries of the biliary system, was carried out in the General Surgery Service of “Saturnino Lora Torres” Teaching Clinical Surgical Provincial Hospital in Santiago de Cuba, in a 8 year period (2007-2014), with the aim of characterizing them according to some variables of interest and of determining the associated mortality.  Among the predominant results there were the female sex and the ages from 35 to 54 years, the produced lesions of the elective videolaparoscopic cholecystectomy for vesicular lithiasis, the clinical forms of presentation the intraabdominal abscess with peritonitis signs and jaundice, diagnosis confirmed by means of the echography.  Also, injuries A and C, according to the classification of Strasberg, were those most reiterated and the most common restorative technical procedure was drainage and washing of the abdominal cavity; 88.6% of the patients were discharged alive and 4 female patients died (11.4%) whose cause of death was the septic shock.  It could be concluded that the moment of diagnosis for these lesions took place late, and that in spite of the complexity of the surgical repair, there was low mortality.

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Published

2015-12-12

How to Cite

1.
Micó Obama B, León Goire WL, Romaguera Barroso D, Lozada Prado GA, Rodríguez Fernández Z. Characterization of patients with surgical iatrogenic injuries of the biliary apparatus. MEDISAN [Internet]. 2015 Dec. 12 [cited 2025 Jun. 1];19(12). Available from: https://medisan.sld.cu/index.php/san/article/view/601

Issue

Vol. 19 No. 12 (2015): MEDISAN

Section

Original Articles

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