<?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>S1405-00992025000100007</article-id>
<article-id pub-id-type="doi">10.35366/119606</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colecistectomía subtotal con técnica de Luper: una alternativa de manejo para una colecistectomía difícil]]></article-title>
<article-title xml:lang="en"><![CDATA[Subtotal cholecystectomy with Luper technique: an alternative management for a difficult cholecystectomy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peralta López]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mejía Consuelos]]></surname>
<given-names><![CDATA[Gabriel Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza Hernández]]></surname>
<given-names><![CDATA[Jesús Eleazar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Balbuena Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Balbuena Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>47</volume>
<numero>1</numero>
<fpage>7</fpage>
<lpage>12</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992025000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992025000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992025000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la colecistectomía laparoscópica es un procedimiento muy común y rutinario, realizándose más de 300,000 colecistectomías en México cada año. De estas colecistectomías existe un gran número de las cuales son consideradas como colecistectomías difíciles. Estas dificultades pueden surgir debido a la anatomía alterada de la vesícula biliar, órganos cercanos o comorbilidades del paciente, lo que aumenta el riesgo de complicaciones y prolonga el tiempo quirúrgico.  Objetivo:  describir una técnica de colecistectomía subtotal en la cual se utiliza un endoloop para ligar el remanente vesicular.  Material y métodos:  se creó una técnica de colecistectomía subtotal en la cual se realiza una disección retrógrada de la vesícula para posteriormente ligar el remanente mediante la utilización de un endoloop. Se realizó un estudio retrospectivo en el cual se evaluó a los pacientes que fueron tratados mediante esta técnica.  Resultados:  se realizaron nueve colecistectomías subtotales con esta técnica, en las cuales los pacientes evolucionaron de una manera favorable, todos se vigilaron mediante un drenaje isobárico tipo Penrose. La única complicación registrada fue fuga biliar en uno de los casos, la cual resolvió de manera espontánea a los 13 días.  Conclusiones:  es importante destacar que, si bien los resultados iniciales de la técnica son prometedores, se basan en una muestra relativamente pequeña de pacientes. Por lo tanto, se requiere una ampliación del estudio con una muestra más grande para validar y generalizar estos resultados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  laparoscopic cholecystectomy is a very common and routine procedure, with more than 300,000 cholecystectomies performed in Mexico each year. Of these cholecystectomies, there is a large number of which are considered difficult cholecystectomies. These difficulties may arise due to the altered anatomy of the gallbladder, nearby organs or patient comorbidities, which increases the risk of complications and prolongs surgical time.  Objective:  to describe a subtotal cholecystectomy technique in which an endoloop is used to ligate the gallbladder remnant.  Material and methods:  a subtotal cholecystectomy technique was created in which a retrograde dissection of the gallbladder is performed to subsequently ligate the remnant using an endoloop. A retrospective study was carried out in which patients who were treated using this technique were evaluated.  Results:  nine subtotal cholecystectomies were performed with this technique at the time of writing this publication, in which the patients evolved favorably, all of them were monitored using a Penrose drain. There were no complications recorded in the postoperative period.  Conclusions:  it is important to note that, although the initial results of the technique are promising, they are based on a relatively small sample of patients. Therefore, an extension of the study with a larger sample is required to validate and generalize these results.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colecistectomía difícil]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía subtotal]]></kwd>
<kwd lng="es"><![CDATA[colecistitis aguda]]></kwd>
<kwd lng="es"><![CDATA[disrupción de vía biliar]]></kwd>
<kwd lng="es"><![CDATA[cultura de seguridad]]></kwd>
<kwd lng="es"><![CDATA[vía biliar]]></kwd>
<kwd lng="en"><![CDATA[difficult cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[subtotal cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[acute cholecystitis]]></kwd>
<kwd lng="en"><![CDATA[bile duct disruption]]></kwd>
<kwd lng="en"><![CDATA[safety culture]]></kwd>
<kwd lng="en"><![CDATA[bile duct]]></kwd>
</kwd-group>
</article-meta>
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