medigraphic.com
ISSN 1025-0255 (Electronic)

2017, Number 5

<< Back Next >>

AMC 2017; 21 (5)

Characterization of the converted patients of laparoscopic cholecystectomy of urgency

Quiroga MLE, Estrada BY, Guibert ALA, Maestre RO, González BLL

Language: Spanish
References: 23
Page: 612-620
PDF size: 665.30 Kb.


ABSTRACT

Background: the acute cholecystitis is one of the most frequent three entities in the peritoneal syndrome, which needs surgical treatment of urgency. The conversion of the technique of minimum access to the conventional mode occurs for multiple reasons.
Objective: to characterize the converted patients of laparoscopic cholecystectomy of urgency to conventional mode in the general surgery service.
Methods: a cross-sectional and descriptive study with the objective of characterizing the converted patients of laparoscopic cholecystectomy of urgency. The universe was composed of 31 converted patients of minimum access to conventional surgery of urgency for acute cholecystitis from January 2010 to January 2017.
Results: in the patients with converted acute cholecystitis of surgery of minimum access to conventional mode masculine sex prevailed for 54. 8 % with an average age of 46. The 41to 55 age group, the patients with body mass index of 25 to 30 kg/m2 were the most converted with 58. The 35.4 % of conversion causes corresponded to the vesicular adherences and 16.12 % to suspicion of lesion of bile ducts. From the converted patients, 19 presented perivesicular inflammation and in 14 of them the level of the vesicular wall was between 4 and 6 centimeters.
Conclusions: in the patients with acute cholecystitis that were converted from minimum access to conventional mode men prevailed with an average age of 46. Being overweight constitutes an important factor for the conversion of the method as well as presenting perivesicular inflammation associated to augmented walls of the vesicle mainly between 4 and 6 cm.


REFERENCES

  1. 1.Yuste García P. Consulta de Cirugía General y Aparato Digestivo. Colecistitis aguda [Internet]. Madrid: Clínica DAM; 2017 [citado 23 Feb 2017]. Disponible en: https://www.clinicadam.com/salud/5/000264.html

  2. 2.Carvalho Borges M, Días Takeuti T, Azevedo Terra G, Maria Ribeiro B , Rodrigues Júnior V, Crema E. Comparative analysis of immunological profiles in women undergoing conventional and single-port laparoscopic cholecystectomy. Arq Bras Cir Dig [Internet]. 2016 Jul-Sep [citado 2016 Feb 26];29(3):[about 1 p.]. Available from: http://www.scielo.br/scielo.php?pid=S0102-67202016000300164&script=sci_arttext

  3. 3.Abaid RA, Cecconello I, Zilberstein B. Simplified laparoscopic cholecystectomy with two incisions. Arq Bras Cir Dig [Internet]. 2014 [citado 2017 Feb 27];27(2):[about 1 p.]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/?term=Simplified+laparoscopic+cholecystectomy+with+two+incisions

  4. 4.Castro PM, Akerman D, Munhoz CB, Sacramento ID, Mazzurana M, Alvarez GA. Laparoscopic cholecystectomy versus minilaparotomy in cholelithiasis: systematic review and meta-analysis. Arq Bras Cir Dig [Internet]. 2014 [citado 2017 Feb 27];27(2):[about 1 p.]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4678672/.

  5. 5.Galloso Cueto G, Frías Jiménez R, Pérez Barral O, Petersson Roldán C, Benavides García S. Factores que influyen en la conversión de la colecistectomía video laparoscópica a cirugía tradicional. Rev Cub Med Mil [Internet]. Oct-Dic 2012 [citado 21 Feb 2016];41(4):[aprox. 2 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572012000400005

  6. 6.Soler Dorda G, Emeterio Gonzalez E, Martón Bedia P. Factores asociados a ingreso no previsto tras colecistectomía laparoscópica en régimen de cirugía mayor ambulatoria. Cir Esp [Internet]. 2012 [citado 21 Feb 2016];94(2):[aprox. 3 p.]. Disponible en: http://linkinghub.elsevier.com/retrieve/pii/S0009739X14003297?via=sd

  7. 7.Lipman J, Claridge J, Haridas M, Martin M, Yao D, Grimes K, et al. Preoperative findings predict conversion from laparoscopic to open cholecystectomy. Surgery [Internet]. 2007 Oct [citado 2016 Feb 21];142(4):[about 1 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17950348

  8. 8.Afaneh C, Abelson J, Rich BS, Dakin G, Zarnegar R, Barie PS, et al. Obesity does not increase morbidity of laparoscopic cholecystectomy. J Surg Res [Internet]. 2014 Aug [citado 2016 Feb 21];190(2):[about 7 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24636101

  9. 9.Farkas D, Moradi D, Moaddel D, Nagpal K, Cosgrove J. The impact of body mass index on outcomes after laparoscopic cholecystectomy. Surg Endosc [Internet]. 2012 Apr [citado 2016 Feb 21];26(4):[about 1 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22011951

  10. 10.Teckchandani N, Garg P, Hadke N, Jain S, Kant R, Mandal A, et al. Predictive factors for successful early laparoscopic cholecystectomy in acute cholecystitis: a prospective study. Int J Surg [Internet]. 2010 [citado 2016 Feb 21];8(8):[about 3 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20674811

  11. 11.Livingston E, Rege R. A nationwide study of conversion from laparoscopic to open cholecystectomy. Am J Surg [Internet]. 2004 Sep [citado 2016 Feb 21];188(3):[about 2 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15450821

  12. 12.Vargas Rodríguez LJ, Agudelo Sanabria MB, Lizcano Contreras RA, Martínez Balaguera YM, Velandia Bustcara EL, Sáchez Hernández SJ, et al. Factores asociados con la conversión de la colecistectomía laparoscópica a colecistectomía abierta. Rev Colo gastroenterol [Internet]. 2017 [citado 27 Feb 2017];32(1):[aprox. 3 p.]. Disponible en: https://www.revistagastrocol.com/index.php/rcg/article/view/125

  13. 13.Alcocer Tamayo RJ, Tort Martínez A, Olvera Hernández H, Ugalde Velásquez F, Hernández Zavala JI. Papel de la colecistectomía subtotal laparoscópica en colecistitis aguda complicada. Cir End [Internet]. Jul-Sep. 2016 [citado 27 Feb 2017];17(3):[aprox. 5 p.]. Disponible en: http://www.medigraphic.com/pdfs/endosco/ce-2016/ce163f.pdf

  14. 14.Chávez Segura CJ. Factores clínicos-epidemiológicos para la conversión de la colecistectomía laparoscópica a colecistectomía abierta del Hospital Nacional Arzobispo Loayza [Internet]. Lima: Universidad Nacional Mayor deSan Marcos; 2015 [citado 27 Feb 2017]. Disponible en: http://cybertesis.unmsm.edu.pe/handle/cybertesis/3994

  15. 15.Soltes M, Radonak J. A risk score to predict the difficulty of elective laparoscopic cholecystectomy.Wideochir Inne Tech Maloinwazyjne [Internet]. 2014 Dec [citado 2016 Feb 27];9(4):[about 2 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25562000

  16. 16.Galloso Cueto GL, Lantigua Godoy A, Castillo Lamas L, Alfonso Moya O, Bello Delgado R. Cirugía laparoscópica en la urgencia abdominal. Experiencia de 9 años. Rev Med Electrón [Internet]. 2009 [citado 27 Feb 2017];31(5):[aprox. 4 p.]. Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202009/vol5%202009/tema05.htm

  17. 17.Bebko Roig S, Arrarte Stahr E, Larrabure McLauchlan LI, Borda Luque G, Samalvides Cubas F, Baracco V. Eventos intraoperatorios inesperados y conversión en pacientes colecistectomizados por vía laparoscópica: sexo masculino como factor de riesgo independiente. Rev Gastroenterol Perú [Internet]. 2011 [citado 29 May 2017];31(4):[aprox. 5 p.]. Disponible en: http://www.scielo.org.pe/scielo.php?pid=S1022-51292011000400006&script=sci_arttext

  18. 18.Lezana Pérez MA, Carreño Villarreal G, Fresnedo Pérez R, Lora Cumplido P, Padín Álvarez H, Álvarez Obregón R. Colecistectomía laparoscópica en régimen de cirugía mayor ambulatoria en un hospital comarcal: resultados iniciales de una serie de 110 casos. Rev Cir Esp [Internet]. May 2010 [citado 27 Feb 2017];87(5):[aprox. 5 p.]. Disponible en: http://www.sciencedirect.com/science/article/pii/S0009739X10001041

  19. 19.Bueno Lledó J, Vaqué Urbaneja J, Herrero Bernabéu C, Castillo García E, Carbonell Tatay F, Baquero Valdelomar R, et al. Colecistitis aguda y colecistectomía laparoscópica en el paciente anciano. Cir Esp [Internet]. Abr 2007 [citado 28 Feb 2017];81(4):[aprox. 4 p.]. Disponible en: http://www.sciencedirect.com/science/article/pii/S0009739X07713027

  20. 20.Bocanegra Del Castillo RR, Córdova Cuadros ME. Colecistectomía laparoscópica en el adulto mayor: complicaciones postoperatorias en mayores de 75 años en el Hospital Nacional Cayetano Heredia, Lima, Perú, del 2007–2011. Rev Gastroenterol Perú [Internet]. Abr-Jun 2013 [citado 27 Feb 2017];33(2):[aprox. 5 p.]. Disponible en:http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1022-51292013000200003

  21. 21.Pérez Morales A, Roesch Dietlen F, Díaz Blanco F, Martínez Fernández S. Seguridad de la colecistectomía laparoscópica en la enfermedad litiásica vesicular complicada. Rev Cir Cir [Internet]. Ene-Feb 2005 [citado 27 Feb 2017];73(1):[aprox. 5 p.]. Disponible en: http://new.medigraphic.com/cgi-bin/resumen.cgi?IDARTICULO=4438

  22. 22.Campos Guzmán RW, Gonzales Menéndez MJM. Factores de conversión a cirugía abierta en pacientes sometidos a colecistectomía laparoscópica en el Centro Médico Naval. Rev Fac Med Hum [Internet]. 2015 [citado 27 Feb 2017];15(3):[aprox. 5 p.]. Disponible en: http://aulavirtual1.urp.edu.pe/ojs/index.php/RFMH/index

  23. 23.Arboleda Gil NW. Lesiones de vías biliares en colecistectomías laparoscópicas. [Internet]. Lima: Facultad de Medicina Humana; 2014 [citado 27 Feb 2017]. Disponible en: http://www.repositorioacademico.usmp.edu.pe/bitstream/usmp/1407/1/Arboleda_nw.pdf




2020     |     www.medigraphic.com