{"id":33585,"date":"2025-02-11T14:40:35","date_gmt":"2025-02-11T17:40:35","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=33585"},"modified":"2026-04-24T15:25:11","modified_gmt":"2026-04-24T18:25:11","slug":"iatrogenia-na-vesicula-biliar-entenda-os-possiveis-efeitos-fisiologicos","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/iatrogenia-na-vesicula-biliar-entenda-os-possiveis-efeitos-fisiologicos\/","title":{"rendered":"Iatrogenia na Ves\u00edcula Biliar: entenda os poss\u00edveis efeitos fisiol\u00f3gicos"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/iatrogenia-na-vesicula-biliar-entenda-os-possiveis-efeitos-fisiologicos\/#Cirurgia_de_colecistectomia\" >Cirurgia de colecistectomia<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/iatrogenia-na-vesicula-biliar-entenda-os-possiveis-efeitos-fisiologicos\/#Anatomia_e_Variacoes\" >Anatomia e Varia\u00e7\u00f5es<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/iatrogenia-na-vesicula-biliar-entenda-os-possiveis-efeitos-fisiologicos\/#Fatores_de_Risco\" >Fatores de Risco<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/iatrogenia-na-vesicula-biliar-entenda-os-possiveis-efeitos-fisiologicos\/#Diagnostico\" >Diagn\u00f3stico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/iatrogenia-na-vesicula-biliar-entenda-os-possiveis-efeitos-fisiologicos\/#Manejo\" >Manejo<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/iatrogenia-na-vesicula-biliar-entenda-os-possiveis-efeitos-fisiologicos\/#Prevencao\" >Preven\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/iatrogenia-na-vesicula-biliar-entenda-os-possiveis-efeitos-fisiologicos\/#O_metodo_que_te_aprova\" >O m\u00e9todo que te aprova!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Blog-MedCof-80-1024x576.jpg\" alt=\"\" class=\"wp-image-33587\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Blog-MedCof-80-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Blog-MedCof-80-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Blog-MedCof-80-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Blog-MedCof-80-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Blog-MedCof-80-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Blog-MedCof-80-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Blog-MedCof-80-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Blog-MedCof-80-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Blog-MedCof-80.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>A <strong>les\u00e3o iatrog\u00eanica da via biliar (LIVB)<\/strong> \u00e9 uma complica\u00e7\u00e3o grave, por\u00e9m evit\u00e1vel, da cirurgia do trato biliar, principalmente da colecistectomia.\u00a0Entender essa les\u00e3o \u00e9 primordial para nossas provas de resid\u00eancia, principalmente para os residentes de cirurgia, por isso destacamos os pontos cruciais para a pr\u00e1tica cir\u00fargica e para as provas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-cirurgia-de-colecistectomia\"><span class=\"ez-toc-section\" id=\"Cirurgia_de_colecistectomia\"><\/span><strong>Cirurgia de colecistectomia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A colecistectomia, um dos procedimentos cir\u00fargicos mais realizados, apresenta um risco inerente de LIVB, variando de 0,2% a 0,5%. A anatomia vari\u00e1vel da regi\u00e3o, a presen\u00e7a de inflama\u00e7\u00e3o e a dificuldade t\u00e9cnica contribuem para essa complica\u00e7\u00e3o.\u00a0 A identifica\u00e7\u00e3o e o manejo adequado da LIVB s\u00e3o essenciais para minimizar as consequ\u00eancias para o paciente.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-anatomia-e-variacoes\"><span class=\"ez-toc-section\" id=\"Anatomia_e_Variacoes\"><\/span><strong>Anatomia e Varia\u00e7\u00f5es<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A complexidade anat\u00f4mica da regi\u00e3o hepatobiliar \u00e9 um fator crucial na g\u00eanese da LIVB.\u00a0 Varia\u00e7\u00f5es na conflu\u00eancia dos ductos biliares, ductos hep\u00e1ticos acess\u00f3rios e a rela\u00e7\u00e3o pr\u00f3xima com a art\u00e9ria hep\u00e1tica direita exigem aten\u00e7\u00e3o meticulosa durante a dissec\u00e7\u00e3o.\u00a0 O ducto hep\u00e1tico posterior direito, presente em cerca de 12% dos pacientes, \u00e9 particularmente suscet\u00edvel \u00e0 les\u00e3o. A colangiografia intra operat\u00f3ria pode auxiliar na identifica\u00e7\u00e3o dessas varia\u00e7\u00f5es e na preven\u00e7\u00e3o de les\u00f5es.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"550\" height=\"620\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/image.jpeg\" alt=\"\" class=\"wp-image-33586\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/image.jpeg 550w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/image-266x300.jpeg 266w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/image-373x420.jpeg 373w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/image-150x169.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/image-300x338.jpeg 300w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><figcaption class=\"wp-element-caption\">Fonte: <a href=\"http:\/\/www.rb.org.br\/detalhe_aop.asp?id=2936&amp;idioma=Portugues\">http:\/\/www.rb.org.br\/detalhe_aop.asp?id=2936&amp;idioma=Portugues<\/a><\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-fatores-de-risco\"><span class=\"ez-toc-section\" id=\"Fatores_de_Risco\"><\/span><strong>Fatores de Risco<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>O texto destaca fatores relacionados \u00e0 doen\u00e7a, como colecistite aguda e cr\u00f4nica, e fatores relacionados ao paciente, como obesidade e cirurgias abdominais pr\u00e9vias, que aumentam o risco de LIVB.]<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-classificacao-de-bismuth-strasberg\"><strong>Classifica\u00e7\u00e3o de Bismuth-Strasberg<\/strong><\/h4>\n\n\n\n<p>A classifica\u00e7\u00e3o de Bismuth-Strasberg \u00e9 fundamental para categorizar as LIVBs e guiar o tratamento.&nbsp; O mnem\u00f4nico &#8220;A-B-C-D-E&#8221; facilita a memoriza\u00e7\u00e3o:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Tipo A: Les\u00e3o de ductos segmentares ou de Luschka (ductos acess\u00f3rios).<\/li>\n\n\n\n<li>Tipo B: Les\u00e3o do ducto hep\u00e1tico direito.<\/li>\n\n\n\n<li>Tipo C: Les\u00e3o do ducto hep\u00e1tico comum.<\/li>\n\n\n\n<li>Tipo D: Les\u00e3o do ducto hep\u00e1tico comum pr\u00f3ximo \u00e0 conflu\u00eancia com o ducto c\u00edstico.<\/li>\n\n\n\n<li>Tipo E: Les\u00f5es complexas envolvendo a conflu\u00eancia biliar.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXfMh6LY85a0oRuQdlRy67x9moqEk9Jm8nOEuagRdZ19Pk1Go8-eDHLUmbXOxtQdAu33AvaFwjDHtpt3UevvfmyDz4ZHOafOnFGMycqmvYMfPH5hdB4p8IZH5AVOYSRaSATLjjFEHA?key=T4UwXEh2cqwosHKDsHnClNl9\" alt=\"\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico\"><span class=\"ez-toc-section\" id=\"Diagnostico\"><\/span><strong>Diagn\u00f3stico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A suspeita de LIVB deve ser alta em pacientes com dor abdominal, febre, icter\u00edcia e\/ou extravasamento de bile no p\u00f3s-operat\u00f3rio.\u00a0 Exames de imagem, como ultrassonografia, tomografia computadorizada e colangiorresson\u00e2ncia, auxiliam no diagn\u00f3stico. A colangiopancreatografia retr\u00f3grada endosc\u00f3pica (CPRE) \u00e9 o padr\u00e3o-ouro para a confirma\u00e7\u00e3o diagn\u00f3stica e pode ser terap\u00eautica.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.grupomedcof.com.br\/cofletters\/\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"366\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1024x366.png\" alt=\"\" class=\"wp-image-30896\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1024x366.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-300x107.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-768x275.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1536x549.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-2048x732.png 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1175x420.png 1175w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-150x54.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-696x249.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1068x382.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/10\/Capa-Eventos-MedCof-Plus-1-1920x686.png 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-manejo\"><span class=\"ez-toc-section\" id=\"Manejo\"><\/span><strong>Manejo<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O manejo da LIVB depende da gravidade e do tipo de les\u00e3o.\u00a0 Les\u00f5es menores (tipo A) podem ser tratadas conservadoramente com drenagem.\u00a0 Les\u00f5es mais complexas (tipos B a E) geralmente requerem reparo cir\u00fargico, preferencialmente por equipe especializada em cirurgia hepatobiliar.\u00a0 A reconstru\u00e7\u00e3o com hepaticojejunostomia em Y de Roux \u00e9 a t\u00e9cnica mais utilizada.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-prevencao\"><span class=\"ez-toc-section\" id=\"Prevencao\"><\/span><strong>Preven\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A preven\u00e7\u00e3o da LIVB \u00e9 crucial. Temos como foco a &#8220;vis\u00e3o cr\u00edtica de seguran\u00e7a&#8221; (Strasberg), que consiste em identificar claramente todas as estruturas anat\u00f4micas antes da dissec\u00e7\u00e3o e clipagem.&nbsp; A dissec\u00e7\u00e3o cuidadosa, a tra\u00e7\u00e3o adequada da ves\u00edcula biliar e o uso de energia com cautela s\u00e3o medidas essenciais para evitar les\u00f5es.&nbsp; A convers\u00e3o para cirurgia aberta deve ser considerada em casos de dificuldade t\u00e9cnica ou suspeita de les\u00e3o.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXe_0PS3kZOuPATb0AnmAI974nVcXxXLf3tExmknwZCEe0zxaKUT4ZQBXY0-blJLpcg0m8S7eRq42nOZ6pQVZ-AYnNU_LMcffz3u3V1iIHFNTdYf-WESmbiOx-mnZz0uuOLqb9z1cA?key=T4UwXEh2cqwosHKDsHnClNl9\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Fonte: <a href=\"https:\/\/images.app.goo.gl\/9gydMxn2eYoMU9sKA\">https:\/\/images.app.goo.gl\/9gydMxn2eYoMU9sKA<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"o-m\u00e9todo-que-te-aprova\"><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova\"><\/span><strong>O m\u00e9todo que te aprova!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>MedCoffer<\/strong><\/a>! Aqui, te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>metodologia que j\u00e1 aprovou mais de 10 mil residentes no pa\u00eds<\/strong><\/a>! Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"eNJxNhxfA50\"><iframe loading=\"lazy\" title=\"SingularCast #13 - Dr. Eduardo Pessoa aprovado em Neurologia na\u00a0USP-RP\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/eNJxNhxfA50?list=PL1cAl9ptpmfoAE5iKna7CKyStn8BkM1by\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>A les\u00e3o iatrog\u00eanica da via biliar (LIVB) \u00e9 uma complica\u00e7\u00e3o grave, por\u00e9m evit\u00e1vel, da cirurgia do trato biliar, principalmente da colecistectomia. Veja!<\/p>\n","protected":false},"author":21,"featured_media":33587,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[135],"tags":[2569,2567,2568],"ppma_author":[3617],"class_list":{"0":"post-33585","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cirurgia-geral","8":"tag-cirurgia-de-colecistectomia","9":"tag-lesao-iatrogenica","10":"tag-vesicula-biliar"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Iatrogenia na Ves\u00edcula Biliar: Efeitos fisiol\u00f3gicos | Medcof<\/title>\n<meta name=\"description\" content=\"A les\u00e3o iatrog\u00eanica da via biliar (LIVB) \u00e9 uma complica\u00e7\u00e3o grave, por\u00e9m evit\u00e1vel, da cirurgia do trato biliar, principalmente da colecistectomia. Veja!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/iatrogenia-na-vesicula-biliar-entenda-os-possiveis-efeitos-fisiologicos\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Iatrogenia na Ves\u00edcula Biliar: entenda os poss\u00edveis efeitos fisiol\u00f3gicos\" \/>\n<meta property=\"og:description\" content=\"A les\u00e3o iatrog\u00eanica da via biliar (LIVB) \u00e9 uma complica\u00e7\u00e3o grave, por\u00e9m evit\u00e1vel, da cirurgia do trato biliar, principalmente da colecistectomia. 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