Efecto de la colecistectomía laparoscópica temprana en pacientes con colecistitis aguda calculosa Hospital Alcívar, año 2015
Fecha
2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Demostrar el efecto de la colecistectomía laparoscópica temprana en pacientes con colecistitis aguda calculosa mediante la revisión de historias clínicas y récords operatorios, identificando la conducta terapéutica de elección en el Hospital Alcívar en el año 2015.
MATERIALES Y MÉTODOS: Trabajo retrospectivo, no experimental, de observación indirecta y análisis correlacional. Muestra de 112 pacientes que fueron sometidos a colecistectomía laparoscópica en el área de Cirugía General, sujetos a criterios de inclusión y exclusión; los cuales 41 fueron sometidos a colecistectomía laparoscópica temprana y 71 fueron sometidos a colecistectomía laparoscópica tardía.
RESULTADOS: De los paciente estudiados, 72% son de género femenino y 28% masculino; principal pico de aparición de la colecistitis aguda calculosa fue de 29 a 40 años de edad 38%; 29% no tenía antecedentes de colelitiasis, 71% si; tiempo quirúrgico por colecistectomía laparoscópica temprana fue en promedio de 48 minutos, en la tardía fue de 53 minutos; evolución postquirúrgica en colecistectomía laparoscópica temprana favorable en 98% con complicaciones en 1%, mientras que la tardía favorable en 96% y complicaciones en 4%, ningún desenlace favorable; tiempo de estadía hospitalaria en colecistectomía laparoscópica temprana fue de 2,2 días en promedio, mientras que en la tardía fue de 2,6 días.
CONCLUSIONES: La colecistectomía laparoscópica temprana es un procedimiento muy seguro para los pacientes, la tolerancia al mismo es muy buena; el tiempo de estadía hospitalaria, el tiempo de incapacidad, el regreso a las actividades cotidianas y las complicaciones postquirúrgicas son mínimas, por lo tanto, es el mejor método de elección ante un cuadro de colecistitis aguda calculosa.
Demonstrate the effect of laparoscopic cholecystectomy in patients with acute cholecystitis by reviewing clinical and operative records, identifying the therapeutic behavior of the choice at the Alcivar Hospital in 2015. MATERIALS AND METHODS: Retrospective, non-experimental, indirect observation and correlational analysis. Sample of 112 patients who underwent laparoscopic cholecystectomy in General Surgery area, subjects submitted to inclusion and exclusion criteria; 41 whom underwent early laparoscopic cholecystectomy and 71 underwent delayed laparoscopic cholecystectomy. RESULTS: Of the patients studied, 72% were female and 28% male; main peak of appearance of acute cholecystitis was 29 to 40 years 38%; 29% had no history of cholelithiasis, 71% had; operation time for early laparoscopic cholecystectomy was 48 minutes, in delayed laparoscopic cholecystectomy was 53 minutes on average; postoperative evolution in early laparoscopic cholecystectomy was favorable in 98% while 1% presented complications, in delayed laparoscopic cholecystectomy was favorable in 96% and 4% presented complications, no unfavorable outcomes; length of days at the hospital in early laparoscopic cholecystectomy was 2.2, in delayed laparoscopic cholecystectomy was 2.6 days on average. CONCLUSIONS: Early laparoscopic cholecystectomy is a very safe procedure for patients, it’s tolerance is very good; the length of stay time at the hospital, the disability time, the return to normal activities, and postoperative complications are minimal, therefore, it is the best therapeutic behavior in cases of acute cholecystitis
Demonstrate the effect of laparoscopic cholecystectomy in patients with acute cholecystitis by reviewing clinical and operative records, identifying the therapeutic behavior of the choice at the Alcivar Hospital in 2015. MATERIALS AND METHODS: Retrospective, non-experimental, indirect observation and correlational analysis. Sample of 112 patients who underwent laparoscopic cholecystectomy in General Surgery area, subjects submitted to inclusion and exclusion criteria; 41 whom underwent early laparoscopic cholecystectomy and 71 underwent delayed laparoscopic cholecystectomy. RESULTS: Of the patients studied, 72% were female and 28% male; main peak of appearance of acute cholecystitis was 29 to 40 years 38%; 29% had no history of cholelithiasis, 71% had; operation time for early laparoscopic cholecystectomy was 48 minutes, in delayed laparoscopic cholecystectomy was 53 minutes on average; postoperative evolution in early laparoscopic cholecystectomy was favorable in 98% while 1% presented complications, in delayed laparoscopic cholecystectomy was favorable in 96% and 4% presented complications, no unfavorable outcomes; length of days at the hospital in early laparoscopic cholecystectomy was 2.2, in delayed laparoscopic cholecystectomy was 2.6 days on average. CONCLUSIONS: Early laparoscopic cholecystectomy is a very safe procedure for patients, it’s tolerance is very good; the length of stay time at the hospital, the disability time, the return to normal activities, and postoperative complications are minimal, therefore, it is the best therapeutic behavior in cases of acute cholecystitis
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Colecistectomía laparoscópica, Colecistectomía, Colecistitis aguda, Colelitiasis, Hospital Alcívar, Cantón Guayaquil, Ecuador