<?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>1688-1281</journal-id>
<journal-title><![CDATA[Revista Cirugía del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. Urug.]]></abbrev-journal-title>
<issn>1688-1281</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Cirugía del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12812025000101203</article-id>
<article-id pub-id-type="doi">10.31837/cir.urug/9.1.6</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colangiografías endoscópicas retrógradas intraoperatorias en el Hospital Pasteur. Revisión de morbimortalidad desde el 2016 al 2021.]]></article-title>
<article-title xml:lang="en"><![CDATA[Intraoperative Endoscopic Retrograde Cholangiographies at Pasteur Hospital: A review of morbidity and mortality from 2016 to 2021.]]></article-title>
<article-title xml:lang="pt"><![CDATA[Colangiografías Retrógradas Endoscópicas intraoperatórias no Hospital Pasteur: Revisão da morbimortalidade de 2016 a 2021.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gabito]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Charquero]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Rosana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calcagno]]></surname>
<given-names><![CDATA[Fernando González]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pages]]></surname>
<given-names><![CDATA[Álvaro Piazze]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Endoscópico Pasteur Clínica Quirúrgica 1 ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Endoscópico Pasteur  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Hospital Pasteur. Facultad de Medicina Clínica Quirúrgica 1]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de la República Hospital Pasteur. Facultad de Medicina Clínica Quirúrgica 1]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Pasteur Clínica Quirúrgica 1 Centro Endoscópico Pasteur]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12812025000101203&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12812025000101203&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12812025000101203&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[ResumenIntroducción El manejo de la litiasis de la vía biliar principal (VBP) incluye múltiples opciones, dentro de ellas el rendezvous laparoendoscópico ha mejorado los resultados clínicos, disminuido complicaciones y costos en salud. Este estudio analiza la morbimortalidad de las colangiopancreatografías endoscópicas retrógradas (CPRE) intraoperatorias realizadas durante colecistectomías laparoscópicas. Materiales y métodos Estudio retrospectivo, evaluando pacientes sometidos a CPRE intraoperatoria más Colecistectomía laparoscópica en un período de 6 años. Se registraron datos como motivo de solicitud, hallazgos, métodos de extracción, fechas de ingreso/egreso, complicaciones y mortalidad. Resultados: Entre 2016 y 2021, se realizaron 468 CPRE, siendo 46 intraoperatorias. La canulación estándar de la vía biliar principal fue la más común (76%) y rendezvous en menor porcentaje (24%). La tasa de éxito terapéutico fue alta, con baja tasa de complicaciones. No se registraron pancreatitis post-CPRE. La canulación selectiva de la vía biliar principal mediante rendezvous se asocia a menores tasas de pancreatitis post CPRE. No hubo mortalidad en la serie. Conclusiones: El procedimiento combinado de CPRE intraoperatoria más colecistectomía laparoscópica es eficaz y seguro, resolviendo ambas patologías en una sola intervención, con alta tasa de éxito y baja morbilidad. Su principal limitación radica en la necesidad de tecnología y profesionales capacitados disponibles.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[AbstractIntroduction: Management of common bile duct stones (CBD) involves multiple options. Techniques like laparoendoscopic rendezvous have improved clinical outcomes, reduced complications, and healthcare costs. This study examines the morbidity and mortality of intraoperative Endoscopic Retrograde cholangiopancreatography (ERCP) during laparoscopic cholecystectomies. Materials and Methods: A retrospective study was conducted assessing patients undergoing intraoperative ERCP plus laparoscopic cholecystectomy over a 6- year period. Data such as indication for procedure, findings, extraction methods, admission/discharge dates, complications and mortality were recorded. Results: Between 2016 and 2021, 468 ERCP procedures were performed, with 46 being intraoperative. Standard common bile duct cannulation was most common, with a smaller percentage being true rendezvous procedures. The therapeutic success rate was high, with a low complication rate. No complications like post-ERCP pancreatitis were recorded. Selective common bile duct cannulation via rendezvous is associated to lower rates of post-ERCP pancreatitis. There was no mortality in the series. Conclusions: The combined procedure of intraoperative ERCP plus laparoscopic cholecystectomy is effective and safe, resolving both pathologies in a single intervention. With a high success rate and low morbidity, its main limitation lies in the need for available resources and coordination with specialized endoscopic teams in advance.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[ResumoIntrodução: O tratamento da litiase do ducto biliar comum (DBC) envolve várias opções. Técnicas como o rendezvous laparoendoscópico têm melhorado os resultados clínicos, reduzido complicações e custos de saúde. Este estudo examina a morbidade e mortalidade da CPRE intraoperatória durante colecistectomias laparoscópicas . Materiais e Métodos: Um estudo retrospectivo foi conduzido avaliando pacientes submetidos a CPRE intraoperatória mais colecistectomía laparoscópica em um período de 6 anos. Dados como indicação para o procedimento, achados, métodos de extração, datas de internação/demissão, complicações e mortalidade foram registrados. Resultados: Entre 2016 e 2021, foram realizados 468 procedimentos de CPRE, sendo 46 intraoperatórias. A canulação padrão do ducto biliar comum foi mais frequente, com uma porcentagem menor de rendezvous verdadeiros. A taxa de sucesso terapêutico foi alta, com uma baixa taxa de complicações. Não foram registradas complicações como pancreatite pós-CPRE. A canulação seletiva do ducto biliar comum via rendezvous, está associada a menores taxas de pancreatite pós-CPRE. Não houve mortalidade na série. Conclusões: O procedimento combinado de CPRE intraoperatória mais Colecistectomia laparoscópica é eficaz e seguro, resolvendo ambas as patologias em uma única intervenção. Com uma alta taxa de sucesso e baixa morbidade, sua principal limitação está na necessidade de recursos disponíveis e coordenação com equipes endoscópicas especializadas com antecedência.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[CPRE]]></kwd>
<kwd lng="es"><![CDATA[CPRE intraoperatoria]]></kwd>
<kwd lng="es"><![CDATA[rendezvous]]></kwd>
<kwd lng="es"><![CDATA[procedimiento combinado]]></kwd>
<kwd lng="en"><![CDATA[ERCP]]></kwd>
<kwd lng="en"><![CDATA[intraoperative ERCP]]></kwd>
<kwd lng="en"><![CDATA[rendezvous]]></kwd>
<kwd lng="en"><![CDATA[combined procedure]]></kwd>
<kwd lng="pt"><![CDATA[CPRE]]></kwd>
<kwd lng="pt"><![CDATA[CPRE intraoperatória]]></kwd>
<kwd lng="pt"><![CDATA[rendezvous]]></kwd>
<kwd lng="pt"><![CDATA[procedimento combinado]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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