<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822019000100029</article-id>
<article-id pub-id-type="doi">10.30944/20117582.95</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colecistectomía total en colecistitis complicada: ¿es una conducta segura?]]></article-title>
<article-title xml:lang="en"><![CDATA[Total cholecystectomy in complicated cholecystitis: is it a safe conduct?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[Juan David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caycedo]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Larios]]></surname>
<given-names><![CDATA[Gabriela Lucía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintero]]></surname>
<given-names><![CDATA[Diana Consuelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad El Bosque Departamento de Cirugía ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Universitario Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>29</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822019000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822019000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822019000100029&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción. La colecistectomía es uno de los procedimientos más comunes en cirugía general y que produjo la explosión de la laparoscopia a finales de los años 80. Una de las complicaciones más temida es la lesión de la vía biliar, en especial en la colecistitis complicada, por lo que la Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) promueve la estrategia de colecistectomía segura. Se presenta una serie de casos que muestra la frecuencia de las lesiones de la vía biliar en las colecistectomías complicadas (grados II y III de la clasificación de Tokio).  Materiales y métodos. Se configuró una serie de casos con pacientes a quienes un cirujano general experto en laparoscopia les practicó colecistectomía laparoscópica en el Hospital Universitario Fundación Santa Fe de Bogotá en un periodo de dos años, de enero de 2016 a marzo de 2018. El objetivo era establecer la frecuencia de lesiones de la vía biliar durante la colecistectomía.  Resultados. Se identificaron 56 pacientes con colecistitis complicada, 2 (3,57 %) de ellas, Tokio III. Se encontró una frecuencia de complicaciones de 1,78 %, sin evidenciar lesión de la vía biliar.  Discusión. La incidencia de lesión de la vía biliar en nuestra población no es superior a la informada, entre 0,2 y 0,4 %, sin necesidad de una colecistectomía subtotal por laparoscopia en la gran mayoría de ellas. En el futuro, debe considerarse el desarrollo de criterios para establecer cuándo se requiere un procedimiento quirúrgico abreviado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  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&#8217;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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[vesícula biliar]]></kwd>
<kwd lng="es"><![CDATA[colecistitis aguda]]></kwd>
<kwd lng="es"><![CDATA[colelitiasis]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[complicaciones intraoperatorias]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="en"><![CDATA[gallbladder]]></kwd>
<kwd lng="en"><![CDATA[cholecystitis, acute]]></kwd>
<kwd lng="en"><![CDATA[cholelithiasis]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy, laparoscopic]]></kwd>
<kwd lng="en"><![CDATA[intraoperative complications]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
</kwd-group>
</article-meta>
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