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2008, Number 4

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Cir Gen 2008; 30 (4)

Technique of two ports acuscopic cholecystectomy. Experience and results

Ramírez AFJ, Rodríguez SI

Language: Spanish
References: 16
Page: 191-196
PDF size: 160.50 Kb.


ABSTRACT

Objective: To describe the two ports acuscopic cholecystectomy technique and the obtained results. Site: Dr. Darío Fernández Fierro General Hospital, second level attention. Design: Transversal, prolective, and descriptive study. Statistical analysis: Percentages as a review measurement for qualitative variables. Patients: Fifty-nine patients were included in this study, from both urgency and elective services. They were elder than 20 years old and suffered from vesicular lithiasis and alithiasic cholecystitis corroborated by USG (Ultrasonographic) examination. Those patients were evaluated about age, gender, average of surgical time, post-operative evolution, complications, and post-operative pain. Sixteen patients, selected in a randomized way, were performed a transoperative transcystic cholangiography. Results: The average age was of 47.32 years old, 53 patients (89.83%) were women, and 44 patients were men (74.57%) having been diagnosed with chronic lithiasic cholecystitis, 10 (16.94%) with acute chronic alithiasic cholecystitis, 3 (5.08%) with cholelithiasis, and 2 (3.38%) with chronic alithiasic cholecystitis; 50 (84.74%) of the patients were taken from the elective way and 9 (15.25%) of them from urgency. The mean time for elective patient was of 81.12 minutes, and of 97.22 minutes for urgency. The post-operative pain (AVS –Analogue Visual Score) had an average value of 5.79 during the first 6 hours, 3.91 at 12 hours, 2.03 at 18 hours and, finally, of 0.76 point at 24 hours of the post-operative period. The subxiphoid port was the pace that presented the highest frequency and intensity. All the patients evolved in a satisfactory way and without any kind of complications. Conclusions: We consider that our technique may be applied in elective and urgency procedures, without complications and with the advantage of having fewer invasions.


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