Ureterolitotripsia endoscópica con láser de holmio y cirugía convencional - riesgos beneficios
Fecha
2021
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La ureterolitotripsia endoscópica con laser de Holmio es una técnica mínimamente invasiva de elección en el tratamiento de las litiasis ureterales. Objetivo: Comparar la ureterolitotripsia endoscópica con láser de Holmio frente a la cirugía convencional en los pacientes con diagnóstico de ureterolitiasis que fueron tratados en el Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón en el periodo 2018 – 2020. Metodología: Estudio descriptivo, de corte transversal, con enfoque cuantitativo- analítico y diseño no experimental. Muestra de 228 pacientes. Para el análisis de los datos se empleó el sistema estadístico informático SPSS con intervalos de confianza del 95%. Resultados: 57% edad de media fue entre la quinta y cuarta década de la vida con una incidencia del 28% y 25% respectivamente, predominantemente en el sexo femenino con el 59% de los casos y un 41% en el sexo masculino. El 53% de los casos se llevó a cabo el abordaje endoscópico y el 47% de los casos el abordaje por cirugía abierta o convencional. El 26% de pacientes presento complicaciones relacionados con el abordaje endoscópico y el 57% en el abordaje convencional. Tiempo promedio de recuperación de 24 horas sin presentar ninguna complicación, y de 3 días hasta el alta médica sin presentar ninguna complicación. Tasa de eficacia del 83% vía endoscópica comparada con la tasa libre de cálculo con el abordaje convencional de un 100%. Conclusiones: Existe diferencia significativa de los riesgos y beneficios de la ureterolitotripsia endoscopia con láser de Holmio frente a la cirugía convencional.
Endoscopic Holmium laser ureterolithotripsy is a minimally invasive technique of choice in the treatment of ureteral stones. Objective: To compare endoscopic ureterolithotripsy with Holmium laser versus conventional surgery in patients with a diagnosis of ureterolithiasis who were treated at the Guayaquil Dr. Abel Gilbert Pontón Specialties Hospital in the period 2018 - 2020. Methodology: Descriptive study, cut cross-sectional, with a quantitativeanalytical approach and non-experimental design. Sample of 228 patients. For data analysis, the SPSS computerized statistical system with 95% confidence intervals was used. Results: 57% average age was between the fifth and fourth decade of life with an incidence of 28% and 25% respectively, predominantly in the female sex with 59% of the cases and 41% in the male sex. The endoscopic approach was carried out in 53% of the cases and the open or conventional surgical approach in 47% of the cases. 26% of patients presented complications related to the endoscopic approach and 57% to the conventional approach. Average recovery time of 24 hours without presenting any complications, and 3 days until discharge without presenting any complications. Efficacy rate of 83% endoscopically compared to the stone-free rate with the conventional approach of 100%. Conclusions: There is a significant difference in the risks and benefits of Holmium laser endoscopy ureterolithotripsy compared to conventional surgery
Endoscopic Holmium laser ureterolithotripsy is a minimally invasive technique of choice in the treatment of ureteral stones. Objective: To compare endoscopic ureterolithotripsy with Holmium laser versus conventional surgery in patients with a diagnosis of ureterolithiasis who were treated at the Guayaquil Dr. Abel Gilbert Pontón Specialties Hospital in the period 2018 - 2020. Methodology: Descriptive study, cut cross-sectional, with a quantitativeanalytical approach and non-experimental design. Sample of 228 patients. For data analysis, the SPSS computerized statistical system with 95% confidence intervals was used. Results: 57% average age was between the fifth and fourth decade of life with an incidence of 28% and 25% respectively, predominantly in the female sex with 59% of the cases and 41% in the male sex. The endoscopic approach was carried out in 53% of the cases and the open or conventional surgical approach in 47% of the cases. 26% of patients presented complications related to the endoscopic approach and 57% to the conventional approach. Average recovery time of 24 hours without presenting any complications, and 3 days until discharge without presenting any complications. Efficacy rate of 83% endoscopically compared to the stone-free rate with the conventional approach of 100%. Conclusions: There is a significant difference in the risks and benefits of Holmium laser endoscopy ureterolithotripsy compared to conventional surgery
Descripción
PDF
Palabras clave
URETEROLITOTRIPSIA ENDOSCOPICA, URETEROSCOPIA, CIRUGIA, ESTUDIO COMPARATIVO, EPIDEMIOLOGIA DESCRIPTIVA, MEDICION DE RIESGO, HOSPITAL DE ESPECIALIDADES GUAYAQUIL DR. ABEL GILBERT PONTON, CANTON GUAYAQUIL, ECUADOR, LASERES DE ESTADO SOLIDO