Causas de conversión de la colecistectomía laparascópica, departamento de cirugía, Hospital Homero Castanier Crespo, Azogues 2013

Abstract

In the Hospital Homero Castanier Crespo benign biliary disease are the leading causes of morbidity and mortality of surgically treated or traditional laparoscopic way, the latter is relatively new and provides a safe and effective alternative treatment as becoming the preferred surgical treatment, it offers a substantial advantage over open cholecystectomy to markedly reduce postoperative pain and disability.

General objective. Identify the causes of conversion of laparoscopic cholecystectomy surgery department, hospital Homero Castanier Crespo, Azogues 2013. Materials and methods. Retrospective descriptive study; universe of 341 cholecystectomy patients. A structured data collection with subsequent review of the medical history form was used. The analysis was performed in SPSS2.0. Results. The average age of patients with laparoscopic cholecystectomy planning is 41.71 years; 68.7% were female and 31.3% were male; 61% live in urban areas and 39% reside in rural areas; 6.6% were converted to conventional open cholecystectomy or during surgery. Of the 7 surgeons who work in the institution 71.4% have an experience of more than three years in performing laparoscopic surgery; among the leading causes of conversion 50% is related to the difficulty in it approach, followed by 33.3% of patients experiencing bleeding during surgery.

Conclusions: The results of this research work we show that the conversion occurs more frequently in females with 68.7% with an average age of 41.7 years and was the main cause of the difficulty in dealing with 50% of cases.

Keywords: ANALYTICAL TECHNIQUES AND DIAGNOSTIC THERAPEUTIC EQUIPMENT, SURGICAL OPERATING PROCEDURES, ELECTIVE SURGICAL PROCEDURES, DISEASES, DIGESTIVE SYSTEM DISEASES BILE DUCT, CHOLELITHIASIS, GALLSTONES, LAPAROSCOPIC CHOLECYSTECTOMY, HOSPITAL HOMERO CASTANIER CRESPO, AZOGUES ECUADOR.