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Juarez, M., (2024). Seguridad de la colecistectomía laparoscópica subtotal en colecistitis aguda [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/20371
Juarez, M., Seguridad de la colecistectomía laparoscópica subtotal en colecistitis aguda [Tesis]. PE: Universidad Privada Antenor Orrego; 2024. https://hdl.handle.net/20.500.12759/20371
@misc{renati/371090,
title = "Seguridad de la colecistectomía laparoscópica subtotal en colecistitis aguda",
author = "Juarez Girón, Maria Jackeliny",
publisher = "Universidad Privada Antenor Orrego",
year = "2024"
}
Title: Seguridad de la colecistectomía laparoscópica subtotal en colecistitis aguda
Authors(s): Juarez Girón, Maria Jackeliny
Advisor(s): Burgos Chávez, Othoniel Abelardo
OCDE field: http://purl.org/pe-repo/ocde/ford#3.02.27
Issue Date: 2024
Institution: Universidad Privada Antenor Orrego
Abstract: Determinar la seguridad entre la colecistectomía laparoscópica subtotal
y la colecistectomía laparoscópica total en el manejo de la colecistectomía difícil en
pacientes con colecistitis litiásica aguda
Métodos: Se llevó a cabo un estudio observacional de cohortes retrospectivas
poblacionales en el Hospital de Alta Complejidad ““Virgen de la Puerta““ durante el
periodo de enero de 2015 a octubre de 2023, en pacientes adultos operados y
considerados colecistectomía laparoscópica difícil. Se consideraron variables como
edad, sexo, presencia de diabetes mellitus tipo 2, hipertensión arterial, score ASA,
tiempo de enfermedad, tiempo operatorio, conversión a cirugía abierta, estancia
hospitalaria y Escala de Parkland (categoría 3 o 4). Se aplicaron criterios de
inclusión y exclusión.
Resultados: Se conformaron dos grupos de estudio: uno sometido a colecistectomía
laparoscópica subtotal y otro a colecistectomía laparoscópica total. En el grupo de
colecistectomía subtotal, hubo una mayor proporción de pacientes de sexo
masculino y una edad promedio ligeramente mayor en comparación con el grupo de
colecistectomía total. El tiempo operatorio promedio fue significativamente mayor
en el grupo de colecistectomía laparoscópica subtotal. En cuanto a las
complicaciones, se observaron diferencias en las tasas de complicaciones
intraoperatorias y postoperatorias entre ambos grupos.
Conclusiones: Los resultados sugieren que la colecistectomía laparoscópica
subtotal y la colecistectomía laparoscópica total tienen diferencias significativas en
términos de duración de la operación; no se encontraron diferencias en el resto de
variables. Se necesitan más estudios para determinar la seguridad de ambas
técnicas en el manejo de la colecistectomía difícil en pacientes con colecistitis
litiásica aguda
To determine the safety of subtotal laparoscopic cholecystectomy compared to total laparoscopic cholecystectomy in the management of difficult cholecystectomy in patients with acute lithiasic cholecystitis. Methods: An observational study of population-based retrospective cohorts was conducted at the ““Virgen de la Puerta““ High Complexity Hospital from January 2015 to October 2023. Adult patients who underwent difficult laparoscopic cholecystectomy were included in the study. Variables such as age, gender, presence of type 2 diabetes mellitus, hypertension, ASA score, duration of illness, operative time, conversion to open surgery, hospital stay were considered and Parkland Scale (category 3 or 4). Inclusion and exclusion criteria were applied. Results: Two study groups were formed: one underwent subtotal laparoscopic cholecystectomy, and the other underwent total laparoscopic cholecystectomy. In the subtotal cholecystectomy group, there was a higher proportion of male patients and a slightly older average age compared to the total cholecystectomy group. The average operative time was significantly longer in the subtotal laparoscopic cholecystectomy group. Regarding complications, differences in the rates of intraoperative and postoperative complications were observed between both groups. Conclusions: The results suggest that subtotal laparoscopic cholecystectomy and total laparoscopic cholecystectomy have significant differences in terms of operative time; no differences were found in the rest of the variables. Further studies are needed to determine the safety of both techniques in the management of difficult cholecystectomy in patients with acute lithiasic cholecystitis
To determine the safety of subtotal laparoscopic cholecystectomy compared to total laparoscopic cholecystectomy in the management of difficult cholecystectomy in patients with acute lithiasic cholecystitis. Methods: An observational study of population-based retrospective cohorts was conducted at the ““Virgen de la Puerta““ High Complexity Hospital from January 2015 to October 2023. Adult patients who underwent difficult laparoscopic cholecystectomy were included in the study. Variables such as age, gender, presence of type 2 diabetes mellitus, hypertension, ASA score, duration of illness, operative time, conversion to open surgery, hospital stay were considered and Parkland Scale (category 3 or 4). Inclusion and exclusion criteria were applied. Results: Two study groups were formed: one underwent subtotal laparoscopic cholecystectomy, and the other underwent total laparoscopic cholecystectomy. In the subtotal cholecystectomy group, there was a higher proportion of male patients and a slightly older average age compared to the total cholecystectomy group. The average operative time was significantly longer in the subtotal laparoscopic cholecystectomy group. Regarding complications, differences in the rates of intraoperative and postoperative complications were observed between both groups. Conclusions: The results suggest that subtotal laparoscopic cholecystectomy and total laparoscopic cholecystectomy have significant differences in terms of operative time; no differences were found in the rest of the variables. Further studies are needed to determine the safety of both techniques in the management of difficult cholecystectomy in patients with acute lithiasic cholecystitis
Link to repository: https://hdl.handle.net/20.500.12759/20371
Discipline: Medicina
Grade or title grantor: Universidad Privada Antenor Orrego. Facultad de Medicina Humana
Grade or title: Medico Cirujano
Juror: Luján Calvo, María del Carmen; Vera Quipuzco, Miguel Alberto; Romero Romero, Oswaldo Francisco
Register date: 7-Feb-2024
This item is licensed under a Creative Commons License