Granados RJJ, Nieva KR, Olvera GG, Londaiz GR, Cabal JKE, Sánchez ÁD, Martínez CG, Guerrero RF, Pérez GC

Language: Spanish
References: 26
Page: 134-141
PDF size: 49.51 Kb.

ABSTRACT

The laparoscopic cholecystectomy not this exempt of complications among these they can be attributed to those characteristic of the laparoscopic procedure, those that keep relationship to the vesicular surgery and the exclusive complications of the laparoscopic cholecystectomy. We study our subjected patients to laparoscopic surgery 262 in total, and we analyze the conversion causes to open surgery finding as results the following ones: Bled of hepatic channel in 5 patients, lesion of the bile duct in 1 patient, anatomical alterations in 1 patient, sharp cholecystitis and subacute in 3 patients, our conversion index is of 3.8%. We intend to divide the patients in 4 stadium, at the moment any classification that could predict the conversion risk doesn’t exist and on these we settled down and we study our converted patients: 2 of them in form preoperatory and the third in form transoperatory, the room only values the postoperative complications. We analyze the variables according to the test of Wilcoxon and we find a p < of .001 for the variable sex and highly significant complications. We consider a minimum risk in form preoperatory of 4 points, moderate of 5 to 10 points and high of 11 points or more. In form transoperatory the minimum risk is of 5 points, moderate of 6 to 8 points and high of 9 points or more. We propose the preoperatory qualification in the laparoscopic cholecystectomy to value the conversion risk and power to establish the risks and to avoid possible transoperatory complications.

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