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2004, Número 2

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Rev Mex Cir Endoscop 2004; 5 (2)


Propuesta de unificación de criterios para la clasificación de la cirugía minilaparoscópica

Dávila ÁF, J Montero PJ, Dávila ÁU, Dávila ZMR, Lemus AJ, Jesús SR

Idioma: Español
Referencias bibliográficas: 119
Paginas: 90-98
Archivo PDF: 155.90 Kb.


RESUMEN

Hasta el momento no se encuentra en la literatura una clasificación o descripción detallada de lo que es la minilaparoscopia, únicamente se ha acuñado el término de cirugía acuscópica para aquella que se realiza con instrumentos de menos de 3 mm de diámetro. Esta técnica surge por la tendencia a minimizar el número de puertos y el tamaño de los mismos, lo que marca la diferencia con la laparoscopia tradicional. Hay reportes de la utilización de técnicas con instrumentos de 3.5, 3, 2 y hasta 1 mm, con el objeto de optimar los resultados de la cirugía endoscópica. Actualmente existe una clasificación para la cirugía abierta y partiendo de esta terminología para la laparotomía y minilaparotomía, homologamos dicha nomenclatura pero aplicada a la cirugía minilaparoscópica. Cirugía abierta tradicional: Laparotomía convencional (›10 cm), minilaparotomía convencional (10 a 6.1 cm), minilaparotomía moderna (6 a 4.1 cm), minilaparotomía micro (‹ 4 cm). Clasificación propuesta para la cirugía minilaparoscópica: laparoscopia tradicional (5 mm o mayor), minilaparoscopia convencional (4.9 a 3.5 mm), minilaparoscopia moderna (3.4 a 2 mm), minilaparoscopia micro (‹ 2 mm). El presente trabajo pretende uniformar criterios en cuanto a la nomenclatura de las técnicas minilaparoscópicas y estandarizarlas de acuerdo a ello, permitiendo su uso universal para el análisis estadístico de los procedimientos.


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