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2014, Número 4

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Revista Cubana de Cirugía 2014; 53 (4)


Factores predictivos de reintervención en cirugía colorrectal laparoscópica

Roque GR, Martínez AMÁ, Torres PR, Pereira FJG, Barreras GJ, López MAB

Idioma: Español
Referencias bibliográficas: 32
Paginas: 356-365
Archivo PDF: 84.94 Kb.


RESUMEN

Introducción: son varios los criterios que se han propuesto para determinar los factores predictivos de complicaciones en cirugía colorrectal laparoscópica.
Objetivo: identificar los posibles factores predictores de reintervención después de cirugía colorrectal laparoscópica.
Métodos: se revisaron las historias clínicas de los pacientes reintervenidos por complicaciones después de cirugía colorrectal laparoscópica en el Centro Nacional de Cirugía de Mínimo Acceso (CNCMA), en el período comprendido de enero de 2007 a diciembre de 2011. A través de un modelo de regresión logística, se estudió la asociación entre la reintervención y las siguientes variables independientes: edad, sexo, enfermedad de base (indicación quirúrgica), tiempo quirúrgico, tipo de anastomosis, tipo de sutura mecánica. Se consideró estadísticamente significativo un valor p ‹ 0,05.
Resultados: se reintervinieron 27 pacientes de 330 operados. La técnica quirúrgica (Dixon bajo) y el tipo de anastomosis (extracorpórea) fueron las variables que se asociaron de manera estadísticamente significativa con la presencia de reintervención en la cirugía colorrectal.
Conclusiones: la técnica quirúrgica (Dixon bajo) y el tipo de anastomosis (extracorpórea) son posibles factores predictivos de reintervención en los operados de enfermedades colorrectales por vía laparoscópica.


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