Complicaciones postquirúrgicas en colecistectomías abiertas y laparoscópicas en pacientes con colecistitis y colelitiasis
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Se define como colecistitis a la inflamación de las paredes de la vesícula y colelitiasis a la presencia de cálculos o litos en su interior, dichas patologías tienen alta incidencia en la población de manera más marcada en el sexo femenino
Objetivo: Establecer las diferentes complicaciones postquirúrgicas que se originan en la colecistectomía abierta frente a colecistectomía laparoscópica
Metodología: Estudio cualitativo, no experimental, observacional, de corte transversal, retrospectivo, confirmativo y comparativo
Resultados: Fueron operados 643 pacientes; de los cuales correspondieron a la técnica abierta 24 y 619 a la laparoscópica, de los cuales predominaron los pacientes entre 20-40 años, se obtuvo menor porcentaje de complicaciones, en la técnica laparoscópica, mientras que la cirugía abierta tuvo mayor prevalencia de complicaciones, en cuanto a los días de hospitalización no existió mayor diferencia en ambas técnicas.
Conclusión: Ambas técnicas tanto la Convencional, como laparoscópica presentan complicaciones, en la actualidad la técnica más usada es la laparoscópica la cual presenta menor índice de complicaciones, sin embargo, cabe recalcar que no se puede dejar de lado ni olvidar la técnica abierta ya que existe la posibilidad de conversión transoperatoria de una técnica a otra
UNIDAD DE TITULACIÓN Post-surgical complications in open and laparoscopic cholecystectomies in patients with cholecystitis and cholelithiasis Author: Fabiola Carolina Rivera Moreno - Lizeth Bolivia Martínez Jurado Advisor: Dr. Jorge Carvajal Abstract: Cholecystitis is defined as inflammation of the gallbladder walls and cholelithiasis in the presence of stones or stones inside, these pathologies have high incidence in the population in the most marked way in the female sex Objective: Establish the different postsurgical complications that originate in open cholecystectomy versus laparoscopic cholecystectomy Methodology: Qualitative, non-experimental, observational, cross-sectional, retrospective, confirmatory and comparative study Results: 643 patients were operated; of which corresponded to open technique 24 and 619 to laparoscopy, of which patients predominated between 20-40 years, a lower percentage of complications was obtained, in the laparoscopic technique, while open surgery had a higher prevalence of complications, As for the days of hospitalization, there was no greater difference in both techniques Conclusion: Both conventional and laparoscopic techniques present complications, currently the most used technique is laparoscopic, which presents a lower rate of complications, however it should be emphasized that the open technique can not be ignored or forgotten since it exists the possibility of transoperative conversion from one technique to another
UNIDAD DE TITULACIÓN Post-surgical complications in open and laparoscopic cholecystectomies in patients with cholecystitis and cholelithiasis Author: Fabiola Carolina Rivera Moreno - Lizeth Bolivia Martínez Jurado Advisor: Dr. Jorge Carvajal Abstract: Cholecystitis is defined as inflammation of the gallbladder walls and cholelithiasis in the presence of stones or stones inside, these pathologies have high incidence in the population in the most marked way in the female sex Objective: Establish the different postsurgical complications that originate in open cholecystectomy versus laparoscopic cholecystectomy Methodology: Qualitative, non-experimental, observational, cross-sectional, retrospective, confirmatory and comparative study Results: 643 patients were operated; of which corresponded to open technique 24 and 619 to laparoscopy, of which patients predominated between 20-40 years, a lower percentage of complications was obtained, in the laparoscopic technique, while open surgery had a higher prevalence of complications, As for the days of hospitalization, there was no greater difference in both techniques Conclusion: Both conventional and laparoscopic techniques present complications, currently the most used technique is laparoscopic, which presents a lower rate of complications, however it should be emphasized that the open technique can not be ignored or forgotten since it exists the possibility of transoperative conversion from one technique to another
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Colecistitis aguda, Colecistectomía abierta, Colecistectomía laparoscópica, Complicaciones posoperatorias, Estudio cuantitativos, Cantón Durán, Ecuador, Colelitiasis, Hospital Básico IESS Durán