<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992021000200079</article-id>
<article-id pub-id-type="doi">10.35366/106718</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colecistectomía subtotal como opción de manejo para colecistectomía difícil]]></article-title>
<article-title xml:lang="en"><![CDATA[Subtotal cholecystectomy as a management option for difficult cholecystectomy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Centeno]]></surname>
<given-names><![CDATA[José Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera Magaña]]></surname>
<given-names><![CDATA[Gildardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Barba]]></surname>
<given-names><![CDATA[Éctor Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila Baylón]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Insensé Arana]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General León  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General León  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Academia Mexicana de Cirugía  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General León División de Cirugía ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital General León  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>43</volume>
<numero>2</numero>
<fpage>79</fpage>
<lpage>85</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992021000200079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992021000200079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992021000200079&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Describir los riesgos asociados a la colecistectomía subtotal en pacientes con colecistectomía difícil.  Material y métodos:  Se realizó una revisión de dos años de la base de datos del Hospital General León dentro del periodo enero de 2013 a diciembre de 2015. Se trata de un estudio retrospectivo con análisis de cohortes reconstruidas que determinan los riesgos asociados con la intervención.  Resultados:  Se reportaron 18 pacientes intervenidos de colecistectomía subtotal debido a colecistectomía difícil; 18 pacientes incluidos en el estudio, se encontró que la morbilidad asociada de 44.4% (33.4% fuga biliar, 5.5% infección de sitio quirúrgico y 5.5% coledocolitiasis residual). La complicación postoperatoria más frecuente es la fuga biliar, 83.3% resuelve de manera no operatoria y 16.7% requirió una colangiopancreatografía retrógrada endoscópica (CPRE) con esfinterotomía para la resolución de la misma. No se encontró mortalidad asociada ni lesiones de la vía biliar en esta cohorte.  Conclusión:  La colecistectomía subtotal es un procedimiento seguro, factible y reproducible como opción de manejo para la colecistectomía difícil que mantiene en márgenes neutros la incidencia de lesión de la vía biliar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To describe the risks associated with subtotal cholecystectomy in patients with difficult cholecystectomy.  Material and methods:  A two-year review of the database of the Hospital General León was performed within the period January 2013-December 2015. This is a retrospective study with reconstructed cohort analyzes that determine the risks associated with the intervention.  Results:  Reporting 18 patients operated on for subtotal cholecystectomy due to difficult cholecystectomy. In 18 patients included in the study, the associated morbidity of 44.4% (33.4% bile leak, 5.5% surgical site infection and 5.5% residual choledocholithiasis) was found. The most frequent postoperative complication is bile leakage, 83.3% resolved non-operatively and 16.7% required ERCP with a sphincterotomy for its resolution. No associated mortality or bile duct injuries were found in this cohort.  Conclusion:  Subtotal cholecystectomy is a safe, feasible and reproducible procedure as a management option for difficult cholecystectomy and that maintains the incidence of bile duct injury on neutral margins.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colecistectomía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía difícil]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía subtotal fenestrada]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía subtotal reconstituida]]></kwd>
<kwd lng="es"><![CDATA[fuga biliar]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[difficult cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[fenestrated subtotal cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[reconstituted subtotal cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[bile leak]]></kwd>
</kwd-group>
</article-meta>
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