Anatomical identification of the bile duct by intrinsic illumination in difficult cholecystectomies: Prometheus device.

Journal: Cirugia Y Cirujanos
Published:
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.

Authors
Ángel Lara Valdés, Arcenio Vargas Ávila, Ana Sánchez Baltazar, Jesús Pérez, Israel Alba Cruz, Natalia Vargas Gómez, Jorge Domínguez Rodríguez