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ISSN 1665-2576 (Impreso)

2005, Número 2

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Rev Mex Cir Endoscop 2005; 6 (2)


Viabilidad de la colecistectomía laparoscópica con tres puertos en el manejo de la colecistitis aguda

Shiordia PFJ, Ugalde VF, Vicencio TA, Quiroz MG, Liceaga FA, López MMC

Idioma: Español
Referencias bibliográficas: 40
Paginas: 79-85
Archivo PDF: 61.77 Kb.


RESUMEN

Antecedentes: La técnica con tres puertos no ha demostrado más riesgos que con cuatro puertos. Objetivo: Comparar manejo laparoscópico de colecistitis aguda y crónica. Material y métodos: Se estudiaron 325 pacientes sometidos a colecistectomía laparoscópica con tres puertos (Hospital Santelena). Se dividieron en dos, (GA) n = 114, colecistitis aguda y (GC) n = 211, colecistitis crónica. Se realizó colecistectomía laparoscópica con tres puertos. Se determinó y comparó la edad, sexo, tiempo quirúrgico, estancia hospitalaria. Resultados: El tiempo quirúrgico fue menor en el GC, p ‹ 0.0001. La punción de la vesícula biliar, la conversión a cuatro puertos fue menor en el GC p ‹ 0.0001. Conclusiones: En este estudio se corroboró que la colecistitis aguda y crónica es significativamente más frecuente en mujeres que en hombres. El tiempo quirúrgico, la punción vesicular y la conversión a cuatro puertos son más frecuentes en el GA. Apoyamos el hecho que en las colecistitis crónicas como las agudas, pueden abordarse laparoscópicamente con tres puertos de manera segura, eficaz y con un buen pronóstico, teniendo los recursos que consideramos invaluables, de puncionar la vesícula biliar o convertir la técnica a 4 puertos y si es necesario hasta la conversión a laparotomía abierta, dependiendo de la dificultad y entidades asociadas a cada caso.


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