<?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>S2307-04202023000300023</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2023.diciembre.23</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia en el tratamiento quirúrgico de la coledocolitiasis no resuelta por CPRE en el Hospital Nacional de Itauguá de enero a octubre de 2022]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience in the surgical treatment of bile duct stone not removed by ERCP at the Itauguá National Hospital from January to October 2022]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco-López]]></surname>
<given-names><![CDATA[Jessica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Echagüe]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional  ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>47</volume>
<numero>3</numero>
<fpage>23</fpage>
<lpage>27</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202023000300023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202023000300023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202023000300023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La coledocolitiasis es la presencia de cálculos en el colédoco como consecuencia de su migración desde la vesícula o de su formación en la vía biliar extrahepática o intrahepática. Objetivo: Determinar la conducta quirúrgica adoptada para el tratamiento de la coledocolitiasis no resuelta por CPRE. Materiales y métodos: Estudio observacional, retrospectivo, descriptivo, de corte transversal. Resultados: De los pacientes en estudio se hallaron cáculos en el 62% de las CPRE realizadas, en los cuales se pudo resolver el cuadro en 85% (151/245). La edad media fue de 56,3 ± 20,75 años con mayor predominio del sexo femenino en el 78%. En los demás pacientes la técnica quirúrgica evidenció en la mayoría se realizó cirugía abierta (22/23) y coledocotomía, más frecuentemente con rafia primaria (14/23). Un solo caso fue resuelto por laparoscopía. Conclusión: para el tratamiento quirúrgico de las coledocolitiasis se utiliza principalmente la vía abierta, y la coledocotomía con rafia primaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Bile duct stones is the presence of calculi in the common bile duct caused by its migration from the gallbladder or its extrahepatic or intrahepatic formation in the bile duct. Objective: Determine the surgical conduct adopted for BDS treatment not removed by ERCP. Materials and methods: Observational, retrospective, descriptive, cross-section study. Results: From the studied patients, calculi were found in 62% of the performed ERCP, in which the symptoms were resolved 85% of the times (151/245). The average age was of 56.3 ± 20.75 years old with a female predisposition of 78%. In the remaining patients, the most used surgical techniques were open surgery (22/23) and choledochotomy, more frequently with primary closure (14/23). Only a single case was resolved by laparoscopy. Conclusion: open method and choledochotomy with primary closure are the main surgical techniques used.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Coledocolitiasis]]></kwd>
<kwd lng="es"><![CDATA[Colangiografía retrograda endoscópica]]></kwd>
<kwd lng="es"><![CDATA[Colecistectomia]]></kwd>
<kwd lng="en"><![CDATA[Bile duct stones]]></kwd>
<kwd lng="en"><![CDATA[Endoscopic retrograde cholangiopan- creatography]]></kwd>
<kwd lng="en"><![CDATA[Cholecystectomy.]]></kwd>
</kwd-group>
</article-meta>
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