2007, Number 2
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Trauma 2007; 10 (2)
Laparoscopy in surgical emergencies
Temoche EE, O´Connor PA, Hauyhua MPC, Zapata IEO, Ubillus AJ, Hamaguchi H
Language: Spanish
References: 19
Page: 41-45
PDF size: 90.31 Kb.
ABSTRACT
This is an observational, descriptive, transverse and retrospective study of the laparoscopy surgery performed in Emergency Room of the National Police of Peru National Hospital «Gral. Medico Luis N. Saenz» in Lima, Peru. Since January of 1999 to January 2005, including 1,581 patients for Surgery Department: 761 male and 812 female founding that 59.32% of the patients was between 20 and 49 years old; inflammatory diseases was the most frequently observated.
Acute appendicitis 52.62%, followed by acute cholecystitis 26.90%. We registered a 13.08 of procedures without injuries 13.08% and a conversion index of 4.99. A supported growth being observed in use of laparoscopic surgery in comparison with open procedures; from 1999 to 2000 of 77.39%, from 2000 to 2001 of 80.73%, from 2001 to 2002 of 95.26 that was maintained to January 2005 with 97.96%. We have now diagnostic precision of 97% and just a 1.01% of surgical complications. Diagnostic and therapeutic advantages of laparoscopic surgery showed on post-surgical evolution of patients, has done that his use is now a routine because the efficiency and safety.
REFERENCES
Lee KB, Wong SK. Emergency laparoscopic surgery-the Changi General Hospital experience. Ann Acad Med Singapore 2002; 31(2): 155-7.
Targarona EM, Trias M, Delgado F. Cirugía lap.: Expectativas y realidades. Cir Esp 2000; 68: 299-303.
Gohp T. Totally intra-abdominal Laparoscopic Billroth II gastrectomy. Surg Endoscop 1992; 6: 160.
De Vinatea J. Cirugía laparoscópica del aparato digestivo. Rev Gastroenterología Perú 1998; 18(Supl 1): s108-s1133.
Perri SG, Altilla F et al. Laparoscopy in abdominal emergences. Indications and limitations. Chir Ital 2002; 54(2): 165-78.
Velanovich V. Laparoscopic vs open surgery. A preliminary comparison of quality of life outcomes. Surg Endosc 2000; 14: 16-21.
Riemann JF. Diagnostic laparoscopy. Endoscopy 2003; 35(1): 43-7.
Trujillo TME, Mederos O, Dalice J, Viamonte F. Correlación clínica, laparoscópica e histológica en el abdomen agudo. Rev Cubana Cir 1995; 34(2).
Obgonna BC, Obekpa PO, Momoh JT et al. La laparoscopia en el tratamiento de los pacientes con abdomen agudo en los países en vías de desarrollo. Br J Surg (ed. Esp.) 1992; 18(6): 404-406.
Franklin MJR, Dorman J, Pharand D. Laparoscopic surgery in acute small bowel obstruction. Surg Laparosc Endosc 1994; 4(4): 289-96.
Deutsch A. Laparoscopy in the prevention of innecessary appendicectomy. Br J Surg 1987; 69(6): 336-7.
Paterson-Brown S, Vipond MN. Modern aids to clinical decision –making in the acute abdomen–. Br J Surg 1990; 77: 13-18.
Jones PF. Practicalities in the management of the acute abdomen. Br J Surg 1990; 77: 365-7.
Castillo LE. Laparoscopia: pasado, presente y futuro. Rev Gastroenterología Perú 1995; 15(Supl. 1): s94-s99.
Antozzi M et al. Diffuse peritonitis by acute appendicitis, video-lap. Procedure. International Journal of Surgical Sciences 1995; 2: 54.
Loh A, Taylor RS. Apendicectomía laparoscópica. Br J Surg 1992; 79: 289-290.
Vargas DA, López RS, Ramírez TD y col. Apendicitis, factores de riesgo que influyen en el retraso del tratamiento. Cirujano General 2001; 23(3):.
Cabrejos PJG, Novoa EAR y col. Factores causantes y consecuencias de la demora en el tratamiento quirúrgico de pacientes con apendicitis aguda en el Hospital de Apoyo de Chachapoyas entre 1995 y 2000. Rev Med Herediana 2001; 12(1):.
Felmer EO, Cárcamo IC, Franjola VMP y col. Resultados del tratamiento quirúrgico clásico de la colangitis aguda. Cuad Cir 2005; 19: 17-21.