“LESIONES DE LA VÍA BILIAR EN COLECISTECTOMÍA LAPAROSCÓPICA. HOSPITAL LUIS VERNAZA. FEBRERO 2016–JULIO 2018”

Abstract

Lesions of the bile duct is the most frequent and worrisome complication of laparoscopic surgery, with clinical, labor, judicial, economic and social repercussions that are very important for the individual.Objectives: the main objective is to determine the lesions of the bile duct that are produced during laparoscopic cholecystectomy at the Luis Vernaza Hospital in the city of Guayaquil in the period from February 2016 to July 2018. Materials and Methods: A retrospective, descriptive and transversal study was carried out. Design of non-experimental research. The universe was constituted by patients in whose surgery protocol evidence of biliary tract complication was found in the Luis Vernaza Hospital in the indicated period. It was not sampled since the entire study population was used. Subsequently, we worked with patients who presented biliary tract complications. Data were taken from the patients' medical records, the data collection sheet was filled out and then the results were tabulated. Results: the most frequent gender is the female 65.7%; the vulnerable age was from 31 to 50 years of age with 33.57%; the degree of biliary tract complication is 4.86%, the most frequent complication was type I (Strasberg classification) in 58%, the hospital stay of the patients in the study was 1 to 15 days with 73.53% , mortality was 14.7%, the conversion rate to traditional surgery was 58.82%.Conclusions: The most frequent gender is feminine; the vulnerable age was 31 to 50 years of age; The complication of the bile duct in laparoscopic cholecystectomy is high, the most frequent complication was type I (Biliary leak in small duct in continuity with the common hepatic, in cystic duct or Luschka canal); the hospital stay of the study patients was from 1 to 15 days; the mortality is considerable; the conversion rate to traditional surgery is high.