Prevalencia y factores asociados a complicaciones quirúrgicas en pacientes mayores de 18 años post colecistectomía laparoscópica en el Hospital Vicente Corral Moscoso Cuenca 2019 - 2020

Abstract

Introduction: laparoscopic cholecystectomy has now become the treatment of choice in the management of most vesicular pathologies due to the higher rate of advantages over conventional cholecystectomy. However, despite all its advantages, complications may occur. Objective: to determine the prevalence and factors associated with surgical complications in patients older than 18 years after laparoscopic cholecystectomy at the Vicente Corral Moscoso hospital in the city of Cuenca in the period February 2019 to January 2020. Material and methods: A cross-sectional analytical study was carried out in laparoscopically cholecystectomized patients between February 2019 and January 2020. Cases of surgical complications and associated factors were identified. The analysis was performed using SPSS version 15, Exel version 16 and EpiInfo version 7 software, from which frequency, percentage, average and dispersion measures such as DS were obtained, and association measures such as OR with 95% CI and p-value to determine statistical significance. Results: 151 patients were included in the study, of these 72.2% were female, the mean age was 40.09 years SD ± 18.88, with a mean hospitalization of 2.52 SD ± 2.40. 30.5% presented a complication. Age ≥65 years presented statistical significance in relation to the presence of complications and conversion risk, p = 0.005 and p = 0.006 respectively; surgical findings are also associated with the presence of complications p = 0.03.