Ventajas reconocidas de la colecistectomía por minilaparotomía frente a la colecistectomía laparoscópica

Gomez, Nestor A.; Zapatier, Jorge A.; Vargas, Paola E.

doi:10.1016/s0009-739x(06)70836-3

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…El tratamiento no quirúrgico de la litiasis de la vía biliar en los pacientes que aún tienen vesícula debe ser realizado posterior a la consulta con un cirujano. Como la mayoría de los cálculos de la vía biliar provienen de la vesícula, la colecistectomía está indicada a menos que el paciente tenga un riesgo quirúrgico elevado (12,13) .…”

Section: Tratamiento De La Litiasis De La Vía Biliar Principal (Colédunclassified

Incidence of surgical injuries of bilar routes in the Surgery Service of the Central FFAA Military Hospital. Period January 2018 to June 2019

Fretes

et al. 2020

Cir. parag

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Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons RESUMEN Se realizó un estudio observacional retrospectivo descriptivo de corte trasversal en 607 pacientes operados para determinar la incidencia de lesiones quirúrgicas de vías biliares durante el periodo enero 2018 a junio 2019 en el Servicio de Cirugía del Hospital Militar Central, donde se tomaron datos de fichas de pacientes en cuanto a sexo, edad, sexo, procedencia, abordaje quirúrgico y evolución de los pacientes operados en dicho período. En su mayoría fueron pacientes de sexo masculino y el porcentaje mayor fueron personas de entre 41 y 50 años. El 85% de los operados es de procedencia de zona urbana. En cuanto el tipo de abordaje quirúrgico el 11,53% fue por vía convencional y el 88,47% por video laparoscopia. En cuanto a la evolución el 90,5 % de los procedimientos fueron realizados como cirugías programadas y el 9,5 % como cirugías de urgencias (colecistitis aguda Litiasica) de los cuales 2 pacientes sufrieron lesiones de vías biliares que en esta investigación representó al 0,37%. Uno de ellos sufrió una lesión de Strasberg tipo E2 y el otro Strasberg tipo A, cabe destacar que ambos procedimientos fueron realizados por videolaparoscopia y fueron cirugías Programadas.

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Section: Tratamiento De La Litiasis De La Vía Biliar Principal (Colédunclassified

Incidence of surgical injuries of bilar routes in the Surgery Service of the Central FFAA Military Hospital. Period January 2018 to June 2019

Fretes

et al. 2020

Cir. parag

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Intra-Operative Predictors of difficult cholecystectomy and Conversion to Open Cholecystectomy – A New Scoring System

et al. 2018

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Objective:To evaluate the intra-operative scoring system to predict difficult cholecystectomy and conversion to open surgery.Methods:This descriptive study was conducted from March 2016 to August, 2016 in the Department of Surgery, Shalimar Hospital. The study recruited 120 patients of either gender, age greater than 18 years and indicated for laparoscopic cholecystectomy (LC). Intra-operatively all patients were evaluated using the new scoring system. The scoring system included five aspects; appearance and adhesion of Gall Bladder (GB), distension or contracture degree of GB, ease in access, local or septic complications, and time required for cystic artery and duct identification. The scoring system ranges from 0 to 10, classified as score of <2 being considered easy, 2 to 4 moderate, 5–7 very difficult, and 8 to 10, extreme. Patient demographic data (i.e. age, gender), co-morbidities, intra-operative scores using the scoring system and conversion to open were recorded. The data was analysed using statistical analysis software SPSS (IBM).Results:Among one hundred and twenty participants, sixty seven percent were females and the mean age (years) was 43.05 ± 14.16. Co-morbidities were present in twenty percent patients with eleven diagnosed with diabetes, six with hypertension and five with both hypertension and diabetes. The conversion rate to open surgery was 6.7%. The overall mean intra-operative scores were 3.52 ± 2.23; however significant difference was seen in mean operative score of converted to open and those not converted to open (8.00 ± 0.92 Vs. 3.20 V 1.92; p-value = 0.001). Among eight cases converted to open, three (37.5%) were in very difficult category while five (62.5%) were in extreme category. Moreover, age greater than 40 years and being diabetic were also the risk factors for conversion to open surgery.Conclusion:The new intra-operative scoring system is a valuable assessment tool to predict difficult laparoscopic cholecystectomy and conversion parameters to open surgery and its utility could improve patient's clinical outcome indicated for laparoscopic cholecystectomy.

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Ventajas reconocidas de la colecistectomía por minilaparotomía frente a la colecistectomía laparoscópica

Cited by 2 publications

References 5 publications

Incidence of surgical injuries of bilar routes in the Surgery Service of the Central FFAA Military Hospital. Period January 2018 to June 2019

Incidence of surgical injuries of bilar routes in the Surgery Service of the Central FFAA Military Hospital. Period January 2018 to June 2019

Intra-Operative Predictors of difficult cholecystectomy and Conversion to Open Cholecystectomy – A New Scoring System

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