Introduction:

Cholecystectomy is one of the most common procedures performed in general surgery and was responsible for the dissemination of laparoscopy among surgeons starting in the late 1980’s. One of the most feared complication is bile duct injury, particularly in complicated cholecystitis. That is why SAGES (Society of American Gastrointestinal and Endoscopic Surgeons) has promoted a safe cholecystectomy program. A case series of complicated cholecystectomies and the frequency of complications is presented.

Materials and methods:

This case series enrolled patients who underwent laparoscopic cholecystectomy at the University Hospital Fundación Santa Fe de Bogotá (Bogotá, Colombia) in the two year period from January 2016 to March 2018 by a single surgeon with laparoscopic expertise. The outcome sought was bile duct injury.

Results:

Fifty-six patients were identified as having complicated cholecystitis, two of them (3.57%) being Tokyo III. The frequency of complication in our study reported 1.78%, none of them a bile duct injury.

Discussion:

In our study bile duct injury incidence was not superior to the one reported in international literature, 0.2-0.4%, without performing a subtotal cholecystectomy. In the future, it is worth considering the development of a set of criteria to define when an abbreviated procedure is indicated.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )