Laparoscopic cholecystectomy versus minilaparotomy in cholelithiasis: systematic review and meta-analysis

Castro, Paula Marcela Vilela; Akerman, Denise; Munhoz, Carolina Brito; Sacramento, Iara do; Mazzurana, Mônica; Alvarez, Guines Antunes

doi:10.1590/s0102-67202014000200013

Cited by 22 publications

(25 citation statements)

References 19 publications

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“…Regarding the length of hospitalization, the results were contradictory, when compared to the recommendations in the literature (17) as there was a higher frequency of infection in patients with a shorter hospitalization period.…”

Section: Discussionmentioning

confidence: 72%

Occurrence of surgical site infection and associated factors in videolaparoscopic cholecystectomy

et al. 2019

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Objective: identify the occurrence and risk factors related with surgical site infection in patients submitted to videolaparoscopic cholecystectomy. Methods: descriptive study developed at a private hospital, involving 118 patients. For the data collection, a tool was elaborated that was submitted to face and content validation. For the data analysis, the software Statistical Package for the Social Sciences was used. Results: the occurrence of infection amounted to 5.9% (n=7). The cases were diagnosed during post-discharge surveillance. The results showed no statistically significant difference between the research variables and the presence of surgical site infection (bivariate analysis). Conclusion: at the place of study, the occurrence of surgical site infection was high, without an association between the research factors and the presence of this type of infection.

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Section: Discussionmentioning

confidence: 72%

Occurrence of surgical site infection and associated factors in videolaparoscopic cholecystectomy

et al. 2019

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“…Meanwhile, in Brazil, we had the first RRP only in 2008 (8 years delay when comparing with the USA); nowadays less than 5% of RPs are RRPs and we have just 26 robotic systems in Brazil and another 27 in all of Latin America (37)(38)(39). Another clear example of poor technology accessibility in Brazil is that 88% of elective cholecystectomies performed are conventional procedures and only 12% are laparoscopic (40).…”

Section: Difficulties For Technology Adoption In South Americamentioning

confidence: 99%

Safe implementation of retroauricular robotic and endoscopic neck surgery in South America

2017

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Epidemiology and risk factors for head and neck cancerCancer is currently a health problem worldwide. Considering all ages, it is the second largest cause of death in the population, falling behind only cardiovascular Abstract: In the last three decades, otolaryngology and head and neck oncological surgery have shown remarkable progress with the development of several modalities of endoscopic-assisted minimally invasive surgeries. More recently, the Da Vinci robotic surgery system has promoted the development of several surgical approaches with less morbidity and better cosmetic results, including the transaxillary and retroauricular approaches for thyroid surgery and neck dissections. In South America, there are several shortcomings regarding financial resources as well as the lack of support for innovation leading to a significant delay in adoption of numerous technological advances in medical practice. Despite these obstacles, we obtained training in transoral robotic surgery and neck procedures, and then decided to implement neck endoscopic and robotic surgery at our institution. We developed a collaborative training program with Yonsei University that, together with several local measures, allowed for a safe implementation. From June 2014 to December 2016, we have performed a total of 121 retroauricular neck surgeries, of which 65 were roboticassisted and 56 were endoscopic assisted procedures, with a complication rate that seems to be comparable to conventional procedures in our experience and a smooth learning curve. Safety compliance has been continuously assessed. Aiming to develop and disseminate these techniques, we have ongoing collaborative work with Yonsei University faculty, to continue increasing our clinical experience, and we are now preparing the group and infrastructure to establish a local training program for South American surgeons.We have been presenting our results at national and international medical meetings and started to publish the preliminary results in peer reviewed medical journals. The emphasis is that a retroauricular approach is a therapeutic option to be considered, especially for young patients. Media exposure has been avoided so far. As expected, resistance by our peers is still present and much more work is needed to overcome it, including the generation of data on the outcomes and a critical analysis of the advantages and disadvantages of endoscopic and robotic neck surgery.

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“…[6][7][8] The relationship between SSIs and possible contamination during surgery has already been confirmed in some studies. [9][10][11][12][13][14][15] Potentially contaminated surgeries, classified as class II, due to their potential for contamination, are performed in tissues colonized by small microbial flora or in colonized tissues free from infection and inflammation. 1,16 Contamination of the surgical site can occur at any time in the perioperative period, due to the patient's risk factors, the surgical procedure and the hospital environment from the preoperative period to the postoperative period.…”

Section: Introductionmentioning

confidence: 99%

Fatores De Risco Para Infecção Do Sítio Cirúrgico Em Cirurgias Potencialmente Contaminadas

Martins¹,

Amante

Virtuoso

et al. 2018

Texto contexto - enferm.

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RESUMO Objetivo: associar os fatores de risco do período pós-operatório de cirurgias potencialmente contaminadas, com a ocorrência da infecção do sítio cirúrgico no período pós-operatório hospitalar e domiciliar. Método: período de coleta de dados foi de fevereiro a junho de 2015, com 84 pacientes acompanhados nos três primeiros dias de pós-operatório e sete dias após a alta hospitalar, através de questionários elaborados para avaliação do sítio cirúrgico, das condições clínicas do paciente e da análise de prontuário. Para verificação dos fatores de risco influenciáveis e classificação das infecções do sítio cirúrgico, utilizou-se um questionário com variáveis que foram analisadas de forma descritiva através da frequência simples, porcentagem e medidas de posição e dispersão. Para a associação e nível de significância dos fatores de risco foram realizados testes estatísticos. Resultados: nenhum dos pacientes entrevistados desenvolveu infecção profunda do sítio cirúrgico ou de órgão/espaço, sendo que sete desenvolveram infecção do sítio cirúrgico superficial no pós-operatório hospitalar e 41 em domicílio. Os fatores de risco analisados não foram significativos para o desenvolvimento das infecções. Conclusões: recomenda-se que as instituições implantem um serviço de vigilância e acompanhamento pós-alta, a fim de que se melhore a confiabilidade das taxas de incidência das infecções do sítio cirúrgico; melhorar a qualidade dos cuidados com os pacientes; compreensão epidemiológica e identificação dos fatores de risco. Além disso, propõe-se facilitar o processo de referência e contra referência através de capacitações da Estratégia de Saúde da Família para identificação destes fatores de risco, atuando em rede.

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Laparoscopic cholecystectomy versus minilaparotomy in cholelithiasis: systematic review and meta-analysis

Cited by 22 publications

References 19 publications

Occurrence of surgical site infection and associated factors in videolaparoscopic cholecystectomy

Occurrence of surgical site infection and associated factors in videolaparoscopic cholecystectomy

Safe implementation of retroauricular robotic and endoscopic neck surgery in South America

Fatores De Risco Para Infecção Do Sítio Cirúrgico Em Cirurgias Potencialmente Contaminadas

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