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2022, Number 1

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Rev Med UV 2022; 22 (1)

Experience in the Surgical Management of Bile Duct Lithiasis In the Surgery Service I of Ruiz y Páez University Hospital Complex

Yary MSM, Tovar TCL, Cesin LLM, Alvarado GAC, Gómez SJA

Language: Spanish
References: 37
Page: 7-21
PDF size: 261.90 Kb.


ABSTRACT

Objective: To determine the experience in the surgical management of bile duct lithiasis in the Surgery Service I of the Ruiz y Páez University Hospital Complex, January 2018 - October 2020. Methodology: It was a prospective, field, analytical and cross section. Results: The most frequent postoperative diagnosis was gallbladder lithiasis with 70.20% cases, in 65.38% of patients clips were used as surgical management of cholelithiasis, of the total of patients with laparoscopic cholecystectomy 89.10%, the approach the most common abdominal cavity was, in patients with pneumoperitoneum insufflation through a Veress needle plus conventional trocars 80.45%, most of the patients had a hospital stay between 24 to 48 hours with 83.01%, patients with laparoscopic cholecystectomy (n = 278) 94.60%, did not present complications, the surgical mortality associated with biliary pathology only appeared in one patient with laparoscopic cholecystectomy, represented by 0.32% of the total. Conclusions: the surgical experience in laparoscopic surgery makes this operative technique the best alternative in the treatment of vesicular disease with an acute course due to a lower risk of complications and a rate of recoverability in less time.


REFERENCES

  1. Álvarez L, Esmeral M, García M, Toro D, Rojas O. (2013). Colecistectomíalaparoscópica difícil, estrategias de manejo. Rev Colomb Cir.,28,186-95.

  2. Ambe P, Kaptanis S, Papadakis M, Weber S, Zirngibl H. Cholecystectomyfor the management of critically ill patients with acute cholecystitis:a protocol for a systematic review. Systematic Reviews. 2020,4:77

  3. Beckman I, Dash N, Sefczek R. Ultrasonographic findings in cholecystitis.Gastrointest. Radiol 2015; 10:387.

  4. Bellows C. Cholecystitis, Best Practice. BMJ. 2014; 1041:118-123.

  5. Cao A, Eslick G, Cox M. Early cholecystectomy is superior to delayed cholecystectomyfor acute cholecistitis: A metaanalysis. J GastrointestSurg. 2015; 19:848-857.

  6. Casanova R., Complicaciones de la cirugía biliar. Rev Esp Cir. 2011; 69:31-33.

  7. Castro F, Galindo J, Bejarano M. Complicaciones de colecistitis aguda enpacientes operados de urgencia. Rev Colomb Cir. 2008; 23(1):16-21.

  8. Chang Y, Ahn Y, Jang J, Kang M, Kwon W. Percutaneous cholecystostomyfor acute cholecystitis in patients with high comorbidity andre-evaluation of treatment efficacy. Surgery. 2020; 155(4):615–22.

  9. Cordero R, Pérez K, García A. Tiempo de estancia hospitalaria post quirúrgicaen pacientes post operados de Colecistectomía convencionaly laparoscópica. Rev Méd Univ Veracruzana. 2015; 15:7-14.

  10. de Mestral C, Gómez D, Haas B, Zagorski B, Rotstein O. Cholecystostomy:a bridge to hospital discharge but not delayed cholecystectomy. JTrauma Acute Care Surg. 2013; 74(1):175–9.

  11. Del Castillo M, Alvarado R. Colecistitis Aguda: Estudio Comparativo de 3alternativas Médico – Quirúrgicas. Rev Gastroenterol Per. 2018;17:24-28.

  12. Estepa J, Santana T, Estepa J. Colecistectomía convencional abierta enel tratamiento quirúrgico de la litiasis vesicular. Medisur. 2015,

  13. 13:24-26.13. Fuentes I, López T, Papuzinski A, Zúniga C. Colecistectomía laparoscópicatemprana y tardia por colecistitis aguda. Relación en la estadíahospitalaria. Hospital Dr. Gustavo Fricke, Chile 2011. Rev. ANACEM.2013; 7:60-63.

  14. Galloso G, Lantigua A, Carballo S. 2012. Instrumental básico y especializadoen la colecistectomía video laparoscópica. Rev Med Electrón.2012; 34:101-107.

  15. García J, Ramírez F. Colecistectomía de urgencia laparoscópica versusabierta. Cir Gen 2012; 34(3):174-178.

  16. Gómez, M., Ruiz, O., Otero, W. 2017. ¿Cuál es el tamaño normal del conductobiliar común? Rev Colomb Gastroenterol. 2017; 32(2):99-105.

  17. Ibáñez L, Escalona A, Devaud N, Montero P, Ramírez E, Pimentel F. Colectistectomíalaparoscópica: experiencia de 10 años en la PontificiaUniversidad Católica de Chile. Rev Chil Cir. 2010; 59:10-5.

  18. Kortram K, van Ramshorst B, Bollen T, Besselink M, Gouma D. Acute cholecystitisin high risk surgical patients: laparoscopic cholecystectomy:study protocol for a randomized controlled. Trials. 2018;12:13:7.

  19. Lizana C. Colecistectomía por video laparoscopía. 250 casos. Rev Chil Cir.

  20. 2019; 43:285-91.20. López J, Iribarren O, Hermosilla R, Fuentes T, Astudillo E, López N. Resoluciónquirúrgica de la colecistitis aguda. ¿Influye el tiempo deevolución? Rev Chil Cir. 2016; 69(2):129-134.

  21. Mansour J, Yopp A. Cholecystostomy: the challenges of cohort analysis. JSurg Res. 2019; 190(1):417–8.

  22. Minutolo V, Arena M, di Stefano B. Laparoscopic cholecystectomy in thetreatment of acute cholecystitis: Comparison of outcomes andcosts between early and delayed cholecystectomy. Eur Rev MedPharmacol Sci. 2018; 18:40-6

  23. Montalvo E, Kurt S, Pulido A, Vázquez R, Basurto E. Hallazgos de anatomíapatológica en una serie clínica de colecistectomía. Cir Gen Mex.2013; 35:114-120.

  24. Ozsan I, Yodas O, Karabuga T, Yildirim U, Cetin H. Early laparoscopic cholecytectomywith continuous pressurized irrigation and dissectionin acute cholecistitis. Gastroenterol Res Pract. 2019; 734:927-931.

  25. Papi C, Catarci M, D’Ambrosio L, Gili L, Koch M, Grassi G. Timing of cholecystectomyfor acute calculous cholecystitis: a meta-analysis. AmJ Gastroenterol, 2014 ; 99(1):147–55.

  26. Parshad R, Kolla S, Aggarwal S, Kumar A, Kumar R. Early versus delayedlaparoscopic cholecystectomy for acute cholecystitis: a prospectiverandomized trial. SurgEndosc. 2019; 18(9):1323–7.

  27. Pizarro G. “Prevalencia y factores de riesgo asociados a conversión decolecistectomía laparoscópica a colecistectomía convencional enel servicio de cirugía del hospital central F.A.P.” Tesis de Grado.Departamento de Cirugía. Facultad De Medicina humana ManuelHuamán Guerrero. Universidad Ricardo Palma. 2017; pp 81 (Multígrafo).

  28. Portela T, Rodríguez Y, Hernández G, Blázquez N, Sanfiel Y. Beneficio dela recuperación de clips en la colecistectomía laparoscópica. RevCub Cir. 2012. 19:21-23.

  29. Sanjay P, Mittapalli D, Marioud A, White R. Clinical outcomes of a cholecystostomyfor acute cholecystitis: a multicentre analysis. HPB. 2017;15(7):511–6.

  30. Sekimoto M, Takada T, Kawarada Y, Nimura Y, Yoshida M, Mayumi T. Needfor criteria for the diagnosis and severity assessment of acutecholangitis and cholecystitis: Tokyo Guidelines. J HepatobiliaryPancreat Surg. 2016; 14(1):11–14.

  31. Shostrom V, Simorov A, Ranade A, Parcells J. Emergent cholecystostomyis superior to open cholecystectomy in extremely ill patientswith cholecystitis: a large multicenter outcome study. Am J Surg.2018; 206(6):935–940.

  32. Suárez, L. Tratamiento quirúrgico de la colecistitis aguda mediante colecistectomíalaparoscópica. 2016; Rev Chil Cir. 46:69-74

  33. Velasco A, López K, Guzmán S, Llanos, O. Experiencia en el tratamientode la colecistitis aguda por vía laparoscópica. Rev Chil Cir. 2020;47:148-52.

  34. Velázquez-Mendoza J, Villagrán-Murillo F, González-Ojeda, A. Colecistectomíapor minilaparotomía versus laparoscópica. Cir Ciruj. 2012;80:115-121.

  35. Williams S, Itani K. 2015. Revisiting cholecystostomy for cholecystitisbased on a 10-year experience. Arch Surg. 2012; 147(5):416–22.

  36. Yoh T, Okamura R, Nobuto Y, Wada S, Nakamura Y, Kato T. Timing of laparoscopiccholecystectomy for mild and moderate acute cholecystitis.Hepatogastroenterology. 2019; 61:1489-93.

  37. Zehetner J, Degnera E, Olasky J, Mason R, Drangsholt S. Laparoscopic cholecystectomyin patient with acute cholecystitis and failed conservativemanagement: A matched-pair analysis. Surg LaparoscEndoscTech. 2016; 24:523-527.




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