<?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>S2011-75822019000100045</article-id>
<article-id pub-id-type="doi">10.30944/20117582.97</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Incidencia de lesión de vías biliares en un hospital universitario: análisis de más de 1.600 colecistectomías laparoscópicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Incidence of bile duct lesion at a university hospital: analysis of more than 1,600 laparoscopic cholecystectomies]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serna]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Patiño]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Buriticá]]></surname>
<given-names><![CDATA[Melissa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Osorio]]></surname>
<given-names><![CDATA[Érika]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[Carlos Hernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toro]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></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>45</fpage>
<lpage>54</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822019000100045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822019000100045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822019000100045&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción. La colecistectomía laparoscópica es el procedimiento laparoscópico más comúnmente realizado por el cirujano general. La lesión de la vía biliar es la complicación más temida debido a sus implicaciones clínicas y económicas. El objetivo de esta investigación fue determinar la incidencia de la lesión de la vía biliar en un centro de formación académica e identificar los posibles factores de riesgo asociados a su presentación.  Materiales y métodos. Se llevó a cabo un estudio observacional retrospectivo en pacientes a quienes se les practicó una colecistectomía laparoscópica en el Hospital Universitario San Vicente Fundación de Medellín entre marzo de 2011 y septiembre 2016. Se realizó un análisis univariado y bivariado para explorar la asociación de algunas variables preoperatorias e intraoperatorias con la lesión de la vía biliar. Se utilizó el programa estadístico Stata 2014&#8482;.  Resultados. Se incluyeron 1.601 pacientes. La incidencia de lesión de la vía biliar fue de 0,8 % (14 pacientes), con una mortalidad global de 0,4 %. La mayoría de estas lesiones fueron tipo A de Strasberg; solo dos pacientes requirieron una reconstrucción compleja de la vía biliar. Se encontró relación estadísticamente significativa con mayor tiempo operatorio (p&lt;0,05) y mayor sangrado intraoperatorio (p&lt;0,05) con la presentación de lesión de la vía biliar.  Conclusión. La colecistectomía laparoscópica es un procedimiento seguro en el Hospital Universitario San Vicente Fundación, centro de formación de residentes quirúrgicos. La tasa de lesión de la vía biliar es similar a la reportada en la literatura.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction. Laparoscopic cholecystectomy is the most common laparoscopic procedure performed by the general surgeon. Bile duct injury (BDI) is the most feared complication due to its clinical and economic implications. The goal of this study was to determine the incidence of BDI at a teaching hospital and to identify possible related risk factors.  Methods. This is an observational retrospective study that included patients who underwent laparoscopic cholecystectomy at San Vicente Foundation University Hospital (HUSVF) in Medellin, Colombia, in the period 2011 to September 2016. Univariate and bivariate analyses were performed to explore possible association of some perioperative variables with BDI. Statistic software STATA 2014 was used.  Results. A total of 1,601 patients were included. BDI incidence was 0.8% (14 patients), global mortality was 0.4%. Most of BDIs were type A of the Strasberg classification and only two patients required complex reconstructions of the bile ducts. Longer operative time (p&gt;0.05) and higher intraoperative blood loss (p&lt;0.05) were related with BDI.  Conclusion. Laparoscopic cholecystectomy is a safe procedure at HUSVF, a training center for surgical residents. Bile duct injury rate at this hospital is similar to that reported in the literature.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[conducto colédoco]]></kwd>
<kwd lng="es"><![CDATA[colelitiasis]]></kwd>
<kwd lng="es"><![CDATA[colecistitis aguda]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[complicaciones intraoperatorias]]></kwd>
<kwd lng="en"><![CDATA[common bile duct]]></kwd>
<kwd lng="en"><![CDATA[cholelithiasis]]></kwd>
<kwd lng="en"><![CDATA[cholecystitis, acute]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy, laparoscopic]]></kwd>
<kwd lng="en"><![CDATA[intraoperative complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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