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ISSN 1665-2576 (Impreso)

2013, Número 4

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Rev Mex Cir Endoscop 2013; 14 (4)


Exploración laparoscópica de vías biliares para manejo de coledocolitiasis

Farell RJ, Mata QCJ, Luna MJ, Cuevas OVJ, Sosa LAJ

Idioma: Español
Referencias bibliográficas: 37
Paginas: 171-177
Archivo PDF: 194.51 Kb.


RESUMEN

Propósito: Revisión sobre el manejo de la coledocolitiasis por vía laparoscópica. La exploración de las vías biliares laparoscópica es una técnica segura y eficaz, que es una alternativa de primera elección para el manejo de la coledocolitiasis. Se ha mantenido como un procedimiento limitado por la experiencia y entusiasmo del cirujano laparoscopista. En términos generales, el éxito de ambas alternativas de tratamiento (CPRE + colecistectomía versus colecistectomía con exploración de vías biliares) es estadísticamente el mismo; sin embargo, la morbilidad, los días de estancia hospitalaria y los costos son discretamente menores en el abordaje de un solo paso. Por el momento, este abordaje continuará como una excelente opción de tratamiento para aquéllos que cuenten con los recursos, la experiencia y destreza quirúrgica para garantizar el éxito.


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