<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2025000100014</article-id>
<article-id pub-id-type="doi">10.24875/ciru.22000451</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Identificación anatómica de la vía biliar por iluminación intrínseca en colecistectomías difíciles: dispositivo Prometeo]]></article-title>
<article-title xml:lang="en"><![CDATA[Anatomical identification of the bile duct by intrinsic illumination in difficult cholecystectomies: Prometheus device]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lara-Valdés]]></surname>
<given-names><![CDATA[Ángel J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Ávila]]></surname>
<given-names><![CDATA[Arcenio L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Baltazar]]></surname>
<given-names><![CDATA[Ana L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Jesús M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alba-Cruz]]></surname>
<given-names><![CDATA[Israel de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Gómez]]></surname>
<given-names><![CDATA[Natalia T.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez-Rodríguez]]></surname>
<given-names><![CDATA[Jorge A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ignacio Zaragoza, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital Regional Gral Departamento 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>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>1</numero>
<fpage>105</fpage>
<lpage>110</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2025000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2025000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2025000100014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La lesión biliar sigue siendo una de las complicaciones más temidas después de una colecistectomía. El dispositivo Prometeo, mediante iluminación intrínseca, facilita la identificación anatómica intraoperatoria de estructuras biliares. En un caso de colecistitis, se utilizó durante una colecistectomía convencional, avanzándolo por la bolsa de Hartmann hasta la confluencia con el hepático común, iluminando las estructuras biliares y mejorando la visión crítica de seguridad. Este dispositivo demostró ser un método seguro y accesible, con potencial para su uso en la mayoría de los centros de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Bile duct injury remains one of the most feared complications after cholecystectomy. The Prometheus device, through intrinsic illumination, facilitates intraoperative anatomical identification of biliary structures. In a case of cholecystitis, it was used during a conventional cholecystectomy, advancing it through Hartmann's pouch to the confluence with the common hepatic duct, illuminating the biliary structures and enhancing critical view of safety. This device proved to be a safe and accessible method, with potential for use in most healthcare centers.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[Laparoscopia]]></kwd>
<kwd lng="es"><![CDATA[Colangiografía]]></kwd>
<kwd lng="es"><![CDATA[Experimental]]></kwd>
<kwd lng="es"><![CDATA[Indocianina]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic]]></kwd>
<kwd lng="en"><![CDATA[Cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[Cholangiography]]></kwd>
<kwd lng="en"><![CDATA[Investigational]]></kwd>
<kwd lng="en"><![CDATA[Indocyanine]]></kwd>
</kwd-group>
</article-meta>
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