Colecistectomía laparoscópica temprana versus tardía en litiasis vesicular en el Hospital José Carrasco Arteaga 2012

Abstract

This study aims to evaluate the risks and benefits of early laparoscopic cholecystectomy versus delayed. Biliary colic is one of the most frequent indications for laparoscopic cholecystectomy, laparoscopic cholecystectomy if programmed, requires several months of waiting, however patients during this period may have health complications associated with gallbladder disease.

Objective: Compare morbidity, conversion rate, operative time, perioperative complications and hospital stay between laparoscopic cholecystectomy early versus delayed.

Methods: A study of quasi-experimental design.

Results: Information was collected from 175 patients undergoing laparoscopic cholecystectomy. 66% were female and 33% were male, aged between 16 and 92 years with a mean of 46.5 ± 16 years of age. The disease had an RR of de 1,99 (1,087 – 3,647) for patients with late surgery. Operative time, perioperative complications and hospital stay had significant differences while the conversion rate was no difference between the two study groups.

Conclusions: Early laparoscopic cholecystectomy significantly decreases morbidity during the waiting period for elective laparoscopic cholecystectomy, the surgical time and hospital stay.

KEY WORDS: LAPAROSCOPIC CHOLECYSTECTOMY, SURGICAL REMOVAL OF THE GALLBLADDER, CHOLECYSTECTOMY SURGICAL PROCEDURES OF THE BILIARY SYSTEM, GASTROINTESTINAL SURGICAL PROCEDURES, SURGICAL PROCEDURES OPERATIVE, JOSE CARRASCO ARTEAGA HOSPITAL, CUENCA-ECUADOR.