TECNICA QUIRURGICA DE COLECISTECTOMIA ABIERTA PDF

Cystogastroanastomosis through laparoscopy: management of pancreatic pseudocyst. Correspondencia: Dr. Tel: 01 81 ; cel: ; nextel: E-mail: gcorreab hotmail. Objective: To report a minimally invasive technique to treat a pancreatic pseudocyst.

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Laparoscopic common bile duct exploration and antegrade biliary stenting: Leaving behind the Kehr tube. Hospital Universitario de Valme. En este estudio, comparamos los resultados entre la coledocorrafia sobre Kehr vs.

Palabras clave: Coledocolitiasis. Tubo en T. Introduction: single-stage laparoscopic surgery of cholelithiasis and associated common bile duct stones CL-CBDS has shown similar results when compared to laparoscopic cholecystectomy combined with ERCP. Classically, choledochorrhaphy has been protected by a T-tube drain to allow external bypass of bile flow. However, its removal is associated with a significant complication rate.

Use of antegrade biliary stents avoids T-tube removal associated morbidity. The aim of this study is to compare the results of choledochorrhaphy plus T-tube drainage versus antegrade biliary stenting in our series of laparoscopic common bile duct explorations LCBDE.

Choledochorrhaphy was performed following Kehr tube placements in 47 cases and transpapillary biliary stenting was conducted in the remaining 28 patients. There was a greater trend to grade B complications in the stent group There were 3 cases of residual common bile duct stones in the Kehr group 6. Conclusions: antegrade biliary stenting following laparoscopic common bile duct exploration for CL-CBDS is an effective and safe technique that prevents T-tube related morbidity.

Key words: Common bile duct stones. Laparoscopic common bile duct exploration. Biliary stenting. Entre marzo de y febrero de , hemos realizado en nuestra unidad un total de 85 ELVB en pacientes con coledocolitiasis. Estos casos quedaron excluidos de nuestro estudio. Finalmente, se realiza la coledocorrafia con puntos sueltos de Vicryl en los primeros casos, y desde abril de , con sutura continua del mismo material.

Otro momento de nuestra serie donde la curva de aprendizaje ha podido influir de forma negativa en los resultados ha sido en los primeros casos intervenidos por laparoscopia, donde se concentran 2 de los 3 casos de litiasis residual en el grupo Kehr. Parece, por tanto, que esta debe ser una alternativa a tomar en cuenta desde este momento.

Guidelines on the management of common bile duct stones CBDS. Gut ; Common bile duct exploration for choledocholithiasis. Surg Clin North Am ; , ix. Muhe E. Laparoskopische Cholezystektomie-Spatergebnisse.

Langenbecks Arch Chir Suppl Kongressbd Determinants of adverse reaction following postoperative T-tube cholangiogram. Ann Surg ; Bile leakage after hepatobiliary and pancreatic surgery: A definition and grading of severity by the International Study Group of Liver Surgery. Surgery ; Gigot JF. Techniques Chirurgicales Digestif: Chirurgie des voies biliaires. Paris: Masson; Choledocholithiasis: Endoscopic versus laparoscopic management.

Am Surg ; Cost-effective management of complicated choledocholithiasis: Laparoscopic transcystic duct exploration or endoscopic sphincterotomy. J Am Coll Surg ; Arch Surg ; Gastrointest Endosc ;, e Success rate of complete extraction of common bile duct stones at first endoscopy attempt. Rev Esp Enferm Dig ; Laparoscopic choledocholithotomy. J Laparoendosc Surg ; Dynamics of bile flow through the human choledochal sphincter following exploration of the common bile duct. World J Surg ;; discussion Burhenne HJ.

Garland lecture. Percutaneous extraction of retained biliary tract stones: patients. Laparoscopic versus open cholecystectomy: Hospitalization, sick leave, analgesia and trauma responses. Br J Surg ; Moreaux J. Traditional surgical management of common bile duct stones: A prospective study during a year experience. Am J Surg ; Complications of biliary T-tubes after choledochotomy.

ANZ J Surg ; Advantages of laparoscopic stented choledochorrhaphy over T-tube placement. Antegrade biliary stenting versus T-tube drainage after laparoscopic choledochotomy-A comparative cohort study.

Hepatogastroenterology ; One hundred laparoscopic choledochotomies with primary closure of the common bile duct. Surg Endosc ; Trend towards primary closure following laparoscopic exploration of the common bile duct. Ann R Coll Surg Engl ; Laparoscopic exploration of common bile duct with primary closure versus T-tube: A randomized clinical trial.

J Surgical Research ;e1-e5. Servicios Personalizados Revista.

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