Colecistectomía laparoscópica: experiencia de 20 años en el Hospital Militar Mayor Alberto Alvarado Cobos, Cuenca, 2015

Abstract

Introduction: Colectomy, the most common reason for this procedure to take place is the presence of pathology level gallbladder. Today, laparoscopy surgery is the treatment of choice. Objective: Identify the socio-demographic and clinic factors of laparoscopy colectomy surgery at the Military Hospital located at the city of Cuenca. This Military facility was chosen because of its twenty years of experience in the previous mentioned procedure starting from January 1996 until July 2015. Methodology: It was a descriptive and retrospective study. It was reviewed clinical charts from patients submitted to laparoscopy colectomy surgery in the past twenty years. Based on the inclusion and exclusion criteria, there were selected 480 clinical charts to work with. Data was collected from a survey. In order to analyze data, the program SPSS 22 and Microsoft Office were used. We used descriptive statistics with frequencies and percentages Results: For this procedure, 61.7% of the participants were female and 38.2% were male with average age of 50.77 years old (DS= 0.727). Surgeons on the previous mentioned medical facility performed this surgery. Surgical instructions were as follows: Choletithiasis 60.2%, Acute Cholecystitis 29.2%, Gallbladder Polyps 4.7% Choledocholithiasis 4.5%, and Scleroatrophic Gallbladder 0.9%. The post-operatory patient stay was 80.6% lesser or equal to three days and 19.4% higher or equal to four days ( =1.09 and DS=0.292). The rate of conversion to open surgery was 0%. The surgical time was 50.2 % between 31 and 60 minutes, and 46.2% higher than 60 minutes ( =42.43 min and DS=0.564). Conclusion: Results should be interpreted with caution due to its retrospective nature. In general, results were acceptable and comparable to the rest of the series on the bibliography