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Técnica de colecistectomía acuscópica con 2 puertos: Experiencia y resultados
| Content Provider | Semantic Scholar |
|---|---|
| Author | Amezcua, Francisco Javier Ramírez Sánchez, Isaac Rodríguez |
| Copyright Year | 2008 |
| Abstract | Objective: To describe the two ports acuscopic cholecystectomy technique and the obtained results. Site: Dr. Dario Fernandez Fierro General Hospital, second level attention. Design: Transversal, prolective, and descriptive study. Statistical analysis: Percentages as a review measurement for qualitative variables. Patients: Fifty-nine patients were included in this study, from both urgency and elective services. They were elder than 20 years old and suffered from vesicular lithiasis and alithiasic cholecystitis corroborated by USG (Ultrasonographic) examination. Those patients were evaluated about age, gender, average of surgical time, post-operative evolution, complications, and post-operative pain. Sixteen patients, selected in a randomized way, were performed a transoperative transcystic cholangiography. Results: The average age was of 47.32 years old, 53 patients (89.83%) were women, and 44 patients were men (74.57%) having been diagnosed with chronic lithiasic cholecystitis, 10 (16.94%) with acute chronic alithiasic cholecystitis, 3 (5.08%) with cholelithiasis, and 2 (3.38%) with chronic alithiasic cholecystitis; 50 (84.74%) of the patients were taken from the elective way and 9 (15.25%) of them from urgency. The mean time for elective patient was of 81.12 minutes, and of 97.22 minutes for urgency. The post-operative pain (AVS –Analogue Visual Score) had an average value of 5.79 during the first 6 hours, 3.91 at 12 hours, 2.03 at 18 hours and, finally, of 0.76 point at 24 hours of the post-operative period. The subxiphoid port was the pace that presented the highest frequency and intensity. All the patients evolved in a satisfactory way and without any kind of complications. Conclusions: We consider that our technique may be applied in elective and urgency procedures, without complications and with the advantage of having fewer invasions. Resumen Objetivo: Describir la tecnica de colecistectomia acuscopica con 2 puertos y los resultados obtenidos. Sede: Hospital General Dr. Dario Fernandez Fierro, segundo nivel de atencion. Diseno: Estudio transversal, prolectivo, descriptivo. Analisis estadistico: Porcentajes como medida de resumen para variables cualitativas. Pacientes: Se incluyeron 59 pacientes tanto de urgencias como electivos, mayores de 20 anos con litiasis vesicular y colecistitis alitiasica corroborada por USG, en quienes se evaluo la edad, genero, promedio de tiempo quirurgico, evolucion postquirurgica, complicaciones y dolor postoperatorio. A 16 pacientes de forma aleatoria se les realizo colangiografia transcistica transoperatoria. Resultados: La edad promedio fue de 47.32 anos, 53 (89.83%) fueron mujeres, 44 (74.57%) con diagnostico colecistitis cronica litiasica, 10 (16.94%) mostraron colecistitis cronica litiasica agudizada, 3 (5.08%) colelitiasis y 2 (3.38%) colecistitis cronica alitiasica; 50 (84.74%) fueron de forma electiva y 9 (15.25%) como urgencia; el tiempo quirurgico promedio para electivos fue 81.12 minutos y 97.22 minutos para urgencia. El dolor postquirurgico (EVA) fue en promedio de 5.79 durante las primeras 6 horas, 3.91 a las 12 horas, 2.03 a las 18 horas y finalmente 0.76 puntos a las 24 horas del postoperatorio, siendo el puerto subxifoideo el sitio de mayor frecuencia e intensidad. Todos los pacientes evolucionaron satisfactoriamente y sin complicaciones. Conclusiones: Consideramos que nuestra tecnica puede ser aplicada en procedimientos electivos y de urgencia, sin complicaciones y con la ventaja de menor invasion. Artemisa medigraphic en linea |
| Starting Page | 191 |
| Ending Page | 196 |
| Page Count | 6 |
| File Format | PDF HTM / HTML |
| Volume Number | 30 |
| Alternate Webpage(s) | http://www.medigraphic.com/pdfs/cirgen/cg-2008/cg084c.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
