<?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>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202019000300026</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2019.diciembre.26-28</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Coledocolitiasis: Resolución video-laparoscópica. A propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Coledocolithiasis: Video-laparoscopic resolution. About a case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Sotomayor]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berdejo]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Romero]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itauguá Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<numero>3</numero>
<fpage>26</fpage>
<lpage>28</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202019000300026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202019000300026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202019000300026&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La coledocolitiasis o presencia de litos en la vía biliar principal extra hepática en la mayoría de los casos es de resolución endoscópica mediante la Colangiopancreatografía retrograda endoscópica (CPRE); pero en ciertos casos la, la resolución quirúrgica es la indicada debido a las desproporciones entre calculo/luz coledociana y otros factores que hacen difícil o imposible la resolución endoscópica. El objetivo de este trabajo es presentar la resolución video laparoscópica de una paciente con diagnóstico de colédoco-litiasis de gran tamaño, con antecedente de colecistectomía 12 años antes. Se trata de una paciente femenina, de 69 años con clínica de dolor en epigastrio, de 30 días de evolución, acompañado de nauseas, vómitos, ictericia y coluria. Al ingreso hospitalario presentaba una colangitis aguda moderada, y una litiasis en el colédoco de gran tamaño, corroborado con una CPRE, por desproporción del tamaño del cálculo y el colédoco, se realizó la extracción por vía quirúrgica video laparoscópica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Choledocholithiasis or presence of calculus in the extra hepatic main bile duct in the majority of cases is endoscopic resolution by endoscopic retrograde cholangiography (ERCP); but in certain cases, the surgical resolution is indicated due to the disproportion between the calculus/choledocho and other factors that make endoscopic resolution difficult or impossible. The objective of this work is to present the laparoscopic video resolution of a patient with a diagnosis of bile duct stones, with a history of cholecystectomy 12 years earlier. This is a 69-year-old female patient with epigastric pain, 30 days of evolution, accompanied by nausea, vomiting, jaundice and choluria. At hospital admission, she presented moderate acute cholangitis and a large bile duct stone, corroborated with ERCP, due to disproportion of the size of the calculus and common bile duct. Surgicallaparoscopic treatment was performed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Coledocolitiasis]]></kwd>
<kwd lng="es"><![CDATA[coledocotomía video laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[litiasis coledociana de resolución quirúrgica]]></kwd>
<kwd lng="en"><![CDATA[Coledocolithiasis]]></kwd>
<kwd lng="en"><![CDATA[choledochotomy]]></kwd>
<kwd lng="en"><![CDATA[cholelithiasislithiasis surgical resolution]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cristiano]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Litiasis coledociana. Unidad de Trasplante Hepático y Cirugía Hepatobiliar Compleja]]></article-title>
<source><![CDATA[Revista del Hospital El Cruce]]></source>
<year>2016</year>
<numero>18</numero>
<issue>18</issue>
<page-range>30-47</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tazuma]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gallstone disease: Epidemiology, pathogenesis, and classification ofbiliary stones (common bile duct and intrahepatic)]]></article-title>
<source><![CDATA[Best Pract Res Clin Gastroenterol]]></source>
<year>2006</year>
<volume>20</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1075-83</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pekolj]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento de la litiasis coledociana por vía laparoscópica. Continúa la controversia. Laparoscopic treatment of common bile duct calculi. Istherestillcontroversy?]]></article-title>
<source><![CDATA[Cirugia Española]]></source>
<year>2012</year>
<volume>90</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>144-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Banse]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cárcamo]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento de la coledocolitiasis en la era laparoscópica y rol de la colangiopancreatografía endoscópica retrógrada]]></article-title>
<source><![CDATA[Cuad Cir]]></source>
<year>1999</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>95-105</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Larach]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo laparoscópico de la litiasis coledociana]]></article-title>
<source><![CDATA[]]></source>
<year>2000</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fulcher]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Turner]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Capps]]></surname>
<given-names><![CDATA[GW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cholangiography: Technical advances and clinical applications]]></article-title>
<source><![CDATA[Radiographics]]></source>
<year>1999</year>
<volume>19</volume>
<page-range>25-41</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zamorano]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Cárcamo]]></surname>
<given-names><![CDATA[IC]]></given-names>
</name>
<name>
<surname><![CDATA[Cares]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Felmer]]></surname>
<given-names><![CDATA[EO]]></given-names>
</name>
<name>
<surname><![CDATA[Gabrielli]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coledocolitiasis gigante. Manejo actual]]></article-title>
<source><![CDATA[Cuad cir]]></source>
<year>2018</year>
<volume>22</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>18-24</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cáceres]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Orué]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Melgarejo]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Melgarejo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Morínigo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Litiasis residual versus litiasis primaria de la vía biliar principal: a propósito de un caso controversial]]></article-title>
<source><![CDATA[Cir parag]]></source>
<year>2013</year>
<volume>37</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>36-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferreira Bogado]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez Sotomayor]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cuevas Aquino]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Colangiografía per operatoria: nuestros resultados en 103 pacientes aplicando los criterios de exploración]]></article-title>
<source><![CDATA[Cir parag]]></source>
<year>2018</year>
<volume>42</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>13-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
