Browsing by Author "Fajardo Condo, Scarlett Beatriz"

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    Principales indicaciones de colecistectomía laparoscópica, estancia hospitalaria y complicaciones en pacientes internados. Hospital Moreno Vásquez. Gualaceo. Periodo enero 2018-2020
    (Universidad de Cuenca, 2021-03-02) Duchimaza Peñaranda, Janneth Valeria; Fajardo Condo, Scarlett Beatriz; Cantos Ormaza, Juan Edison
    Introduction: Laparoscopic cholecystectomy is the first choice surgical approach for gallbladder removal due to its minimal aggression accompanied by little pain, short hospitalization period and prompt labor reintegration. The main biliary pathologies that require this treatment are cholelithiasis, cholecystitis, biliary polyp, among others; the most common being cholelithiasis. Biliary pathology is the second most common cause of hospitalizations for gastrointestinal diseases, 10 to 15% of the North American population has cholelithiasis, and 7% require surgical treatment. Objective: to determine the main indications for laparoscopic cholecystectomy, hospitalization time, frequent postoperative complications and mortality in patients admitted at the “Moreno Vasquez” Basic Hospital in Gualaceo during the period January 2018 - January 2020. Methods: It is a descriptive, retrospective, cross-sectional study. The data were obtained by reviewing the medical records of patients undergoing laparoscopic cholecystectomy in the before mentioned health operating unit. The authors designed an instrument for data collection, the same that were processed with the SPSS 20 program and Microsoft Excel 2016. The results are presented using simple and contingency tables. Results: A universe of 295 patients was studied, with a age of 39.1 years and a SD 0.709 and a Ratio of 3.9 women to 1 man. The main surgical indications were cholelithiasis (61.4%), acute cholecystitis (29.2%) and gallbladder polyp (8.1%). The mean hospitalization time was 24.7 hours (SD 0.642), belonging to the range with the highest frequency of 12 to 24 hours (61.7%). The 70.2% did not present postoperative complications and the most frequent complication was postoperative abdominal pain (15.3%). No deaths were recorded. The 67.1% of surgeries were planned. Conclusion: the main indications for cholecystectomy in our environment are cholelithiasis and acute cholecystitis. It is considered a safe surgery since the average hospitalization time is 24.7 hours; and it has a low rate of complications and zero mortality