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2016, Number 3

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Revista Cubana de Cirugía 2016; 55 (3)

Perioperative predictive clinical factors of surgical method conversion

García ÁPJ, Quiroga LE

Language: Spanish
References: 23
Page: 192-200
PDF size: 110.48 Kb.


ABSTRACT

Introduction: the vesicular disease is a common medical condition. Generally, patients with vesicular disease have typical clinical features. Converting laparoscopic cases to the conventional technique occurs by different reasons.
Objectives: relate predictors of laparoscopic cholecystectomy conversion to the traditional method from the preoperative stage.
Results: the average body mass index was 24, average age was 42.2 ± 14 years. 18% were hypertensive, 22% had previous biliary colic, 78% were women, 11% were converted and 41.1% were smokers. Biliary colic increases 12.1 times the risk of being converted to the traditional method. Men are 1.25 times more in risk. There is no increased risk for inexperienced doctor. Patients who have a duodenal ulcer have increased risk of conversion 1.33 times. The change of surgical method in patients with previous scar (χ2 0.00) often occurs.
Conclusions: the most important predictive factors were body mass index greater than 25, male gender, history of biliary colic or cholecystitis, presence of active duodenal ulcer and previous scars on the abdomen, upper abdomen mainly. Age and experience of the surgeon did not constitute risk factors.


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