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ISSN 1029-3019 (Electronic)

2016, Number 09

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MediSan 2016; 20 (09)

Characterization of patients with vesicular lithiasis treated with minimal access surgery

Oliu LH, de la Cruz CNA, Piña PLR, Domínguez GEJ, Romero GLI

Language: Spanish
References: 16
Page: 3018-3025
PDF size: 231.26 Kb.


ABSTRACT

Introduction: vesicular lithiasis is the disease of the alimentary tract mostly requiring hospitalization.
Objective: to characterize the patients with vesicular lithiasis treated with minimal access surgery.
Method: a descriptive and retrospective observational study of 1 271 patients with vesicular lithiasis treated with minimal access surgery at the General Surgery Service from "Saturnino Lora Torres" Teaching Provincial Clinical Surgical Hospital in Santiago de Cuba was carried out from January, 2011 to September, 2014.
Results: the female sex (84.1%), the age group 45-65 years (47.7%), as well as the choleperitoneum as iatrogenic lesion of the biliary pathways as main complication and most frequent cause of reintervention prevailed in the series; also, the presence of the chronic vesicular abscess turned out to be the reason of change to open surgery (25.0%) and only 0.2% of the affected patients died. The hospital stay was shorter than 24 hours in 96.6% of the total of patients and 93.8% of the members of the study were operated with a surgical time of 60 minutes or less.
Conclusions: there was low incidence of complications, conversions and reinterventions, without prolonged surgical times and a short hospital stay.


REFERENCES

  1. Mühe E. Die erate cholecystektomie durch des laparoskop. Langenbuch Arch Klin Chir. 1986: 804-69.

  2. Bellows C, Berger D, Crass R. Management of gallstones. Am Fam Physician. 2005; 72(4):637-42.

  3. Nakeeb A, Comuzzie A, Martin L, Sonnenberg G, Swartz Basile D, Pitt H, et al. Gallstones: genetics versus environment. An Surg. 2002; 235(6): 842-9.

  4. Sanjay P, Moore J, Saffouri E, Ogston SA, Kulli C, Polignano FM, Tait IS. Index laparoscopic cholecystectomy for acute admissions with cholelithiasis provides excellent training opportunities in emergency general surgery. Surgeon. 2010; 8(3):131-27.

  5. Swank HA, Mulder IM, la Chapelle CF, Reitsma JB, Lange JF, Bemelman WA. Systematic review of trocar-site hernia. Br J Surg. 2012;99(3):315–23.

  6. Kais H, Hershkovitz Y, Abu Snina Y, Chikman B, Halevy A. Different setups of laparoscopic cholecystectomy: conversion and complication rates: a retrospective cohort study. Int J Surg. 2014;12(12):1258-61.

  7. Brescia A, Gasparrini M, Nigri G, Cosenza UM, Dall’Oglio A, Pancaldi A, Vitale V, Mari FS. Laparoscopic cholecystectomy in day surgery: feasibility and outcomes of the first 400 patients. Surgeon. 2013;11(Suppl 1):14-8.

  8. Roque González R, Martínez Alfonso MA, Torres Peña R, López Milhet AB, Pereira Fraga JG, Barreras González J. Reintervenciones por complicaciones después de realizada colecistectomía laparoscópica. Rev Cubana de Cir. 2011;50(3):302-11.

  9. Gavilán Yodú RL, Legrá Legrá J, López Pérez A, Ojeda López LA, Irsula Ballaga V. Complicaciones de la colecistectomía videolaparoscopica. Rev Electrónica Portales Médicos.com. 2012 [citado 4 Dic 2014]. Disponible en: http://www.portalesmedicos.com/publicaciones/articles/3945/1/Complicacionesde- la-colecistectomia-videolaparoscopica.html

  10. Zamora Santana O, Rodríguez López-Calleja CA, Hernández Gutiérrez JM, Legrá Legrá J, Peña Pupo NE, Silvera García JR. Logros y retos de la colecistectomía laparoscópica en Cuba. Rev Cubana Cir. 2011;50(4):509-16.

  11. Andrews S. Does concentration of surgical expertise improve outcomes for laparoscopic cholecystectomy? 9 year audit cycle. Surgeon. 2013;11(6):309-12.

  12. Harrison EM, O’Neill S, Meurs TS, Wong PL, Duxbury M, Paterson-Brown S, et al. Hospital volume and patient outcomes after cholecystectomy in scotland: retrospective, national population based study. BMJ. 2012 [citado 4 Dic 2014]; 344:3330. Disponible en: http://www.bmj.com/content/344/bmj.e3330

  13. Ocádiz Carrasco J, Blando Ramírez JS, Garma Martínez AG, Ricardez García JA. Conversión de la colecistectomía laparoscópica, más allá de la curva de aprendizaje. Acta Méd Grupo Ángeles. 2011;9(4): 192-5.

  14. Salman M, Bell T, Martin J, Bhuva K, Grim R, Ahuja V. Use, cost, complications, and mortality of robotic versus nonrobotic general surgery procedures based on a nationwide database. Am Surg. 2013;79(6):553-60.

  15. Subhas G, Gupta A, Bhullar J, Dubay L, Ferguson L, Goriel Y, et al. Prolonged (longer than 3 hours) laparoscopic cholecystectomy: reasons and results. Am Surg. 2011;77(8):981-4.

  16. Enochsson L, Thulin A, Osterberg J, Sandblom G, Persson G. The swedish registry of gallstone surgery and endoscopic retrograde cholangiopancreatog-raphy (GallRiks): a nationwide registry for quality assurance of gallstone surgery. JAMA Surg. 2013;148(5):471-8.




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