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2019, Número 1

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Rev Mex Cir Endoscop 2019; 20 (1)


Abordaje laparoscópico en el diagnóstico y tratamiento de complicaciones en cirugía abdominal mayor

Chinelli J, Rodríguez G

Idioma: Español
Referencias bibliográficas: 29
Paginas: 7-12
Archivo PDF: 283.60 Kb.


RESUMEN

Introducción: El abordaje laparoscópico ofrece ventajas sobre la vía abierta en el tratamiento de complicaciones en cirugía abdominal. Nuestro objetivo es describir la experiencia en la Clínica Quirúrgica 2 del Hospital Maciel. Material y métodos: Estudio retrospectivo y descriptivo que incluye pacientes reintervenidos por vía laparoscópica independientemente del abordaje inicial, entre 2017-2019. Se determinaron variables como causa de reintervención, tiempo operatorio, hallazgos, conversión y procedimiento definitivo, entre otras. Resultados: Se incluyeron 18 pacientes. La causa más frecuente fue la sospecha de falla de sutura colorrectal. Trece reintervenciones fueron precoces (antes del séptimo día) y en cinco casos debió convertirse a cirugía abierta. Conclusiones: La vía de abordaje laparoscópica en el diagnóstico y tratamiento de complicaciones en cirugía abdominal es factible.


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