Ramírez CFJ, Jiménez LG, Arenas OJ

Language: Spanish
References: 17
Page: 97-102
PDF size: 119.75 Kb.

ABSTRACT

Objective: To determine de frequency of complications during laparoscopic cholecystectomy in a teaching hospital.
Setting: General Hospital National Medical Center “La Raza”.
Design: Open, observational, retrospective, transversal, descriptive.
Statistical analysis: Descriptive statistics to characterize the studied population and comparison of approaching techniques by means of Fisher’s and Yate’s exact tests.
Patients and method: From January 1999 to June 2001, 546 patients were subjected to laparoscopic cholecystectomy. We assessed complications. Inclusion criteria were trans-and post-operative complications due to the type of approach and surgical technique.
Results: Patients were 469 women and 77 men, average age of 45.1 for women and 50.7 for men. There were 169 patients with complications, of these 189 minor and 14 major complications. Of the major complications two corresponded to large vessels and two the main billiary tract, others corresponded to the liver and cystic artery. Only bleeding injuries required conversion. All recovered without sequelae. Of the minor complications, 127 were vesicular ruptures, 34 infections, 3 residual stones, 2 subcutaneous emphysema with the Veress technique, 2 wall hematomas, 1 bilioma, 1 cystic fistula, 1 postincisional hernia, and 1 singultus. Veress technique approaches were 503, only here were approaching incidents encountered, Hasson technique was used in 43 cases without incidents. No statistically significant differences were found between the two techniques (p = 0.76). Conversion had to be performed in 39 patients.
Conclusion: The frequency of complications in laparoscopic cholecystectomy in a teaching hospital lies within the safety parameters accepted worldwide.

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