2013, Number 1
Assessment of morbidity and mortality due to laparoscopic cholecystectomy with three ports technique at the Regional High Specialty Hospital of Oaxaca
Jarquín AA, Vásquez CS, Díaz HP, Muñoz HO, Sánchez GR, Geminiano ME, Silva GJC, Terrazas LVM, Sandoval MMD
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Language: Spanish
References: 14
Page: 32-35
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ABSTRACT
Objective: To assess morbidity and mortality of laparoscopic cholecystectomy (LC) at the Regional Hospital of High Specialty (HRAEO, for its initials in Spanish).Setting: Regional Hospital of High Specialty of Oaxaca (third level health care center).
Design: Retrospective, cross-sectional, descriptive, comparative study.
Statistical analysis: Bivariate statistical analysis with central tendency measures and chi square.
Patients and methods: Patients subjected to LC from January 2010 to December 2011. We assessed surgical time, transoperative bleeding, percentage of conversion, days of in-hospital stay, transoperative and postoperative complications.
Results:A total of 386 patients were included, 68 (17.6%) were men of 43.51 ± 16.8 years of age. We identified: one patient with biliary tract lesion (0.3%), one patient with biliary leakage (0.3%), two patients with residual bilomas (0.5%), and a conversion percentage of 2.8% (11 cases). One patient died in the group of three ports due to acute cholangitis (global mortality = 0.3%). Percentage of complications was 4.9%; three ports were used in 355 (92%) patients and four ports in 31 (8%). When comparing both techniques, in-hospital stay was lower in the three ports group, 1.92 ± 1.22 days versus 2.87 ± 2.84 days (p = 0.0001); bleeding was lower, 55.23 + 123.48 ml versus 114.52 ± 193.04 ml (p = 0.0001); as well as surgical time, 71.05 ± 41.87 min versus 110.26 ± 61.25 min (p = 0.0001). There were no differences in morbidity (frequency of fistulae and injuries to the biliary tract).
Conclusions: Morbidity and mortality of LC at the HRAEO is similar to that reported in the world literature. The use of three ports, as compared to four ports, demonstrated a lower surgical time, in-hospital stay, and bleeding.
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