THE VALUE OF A PREOPERATIVE SCORE TO ASSES THERISK FOR IATROGENIC INJURY OCCURRED DURINGCHOLECYSTECTOMY

摘要

THE PURPOSE OF THIS PAPER IS TO DEMONSTRATE THE VALIDITY OF A PREOPERATIVE SCOREMEANT TO DECREASE THE INCIDENCE OF IATROGENIC BILIARY DUCT INJURIES.DESPITE THE INTRODUCTION OF NEW MININVASIVE TECHNIQUES – ENDOSCOPIC ANDLAPAROSCOPIC – THE NUMBER OF ACCIDENTS AND INCIDENTS ENCOUNTERED INCREASED.THE INCIDENCE OF EXTRAHEPATIC BILIARY LESIONS IS DOUBLE IN LAPAROSCOPIC SURGERY (0.4-0.6%) COMPARED TO OPEN SURGERY (0.2-0.3%), SEVERITY OF INJURIES CONSISTING OF SURGICALREPAIR DIFFICULTIES.THE PERSONAL EFFORT MADE BY PROSPECTIVE ANALYSIS TO CALCULATE A PREOPERATIVE RISKSCORE TO PREDICT THE POSSIBILITY OF IATROGENIC INJURY AND TO SET THE INDICATION TOPERFORM PREOPERATIVE OR INTRAOPERATIVE FURTHER INVESTIGATIONS.I ENROLLED A TOTAL OF 62 PATIENTS WHO HAD INDICATION FOR CHOLECYSTECTOMY ANDCALCULATED FOR EACH ONE THE PREOPERATIVE SCORE. THE RESULTS SHOWED THAT THEPATIENTS WITH A SCORE HIGHER THAN 5 POINTS HAVE A SIGNIFICANT RISK FOR IATROGENICBILIARY LESION.