Complicaciones trans y postquirúrgicas inmediatas derivadas de la colecistectomía laparoscópica en pacientes con colecistitis aguda en el Hospital Vicente Corral Moscoso, Cuenca 2014

Abstract

Introduction: laparoscopic cholecystectomy is the gold standard in the treatment of symptomatic cholelithiasis. This surgical technique in addition to reducing costs also reduces the hospital stay. Material and methods: We conducted a cross-sectional observational study of 172 patients undergoing laparoscopic cholecystectomy in the Hospital Vicente Corral Moscoso during the year 2014. A form was utilized to collect data Results: The majority of patients undergoing laparoscopic cholecystectomy are 73.8 % women and young adults 55.8 %. The main symptoms by those who consult patients were pain in the right hypochondrium 50.6 % and pain plus nausea and vomiting 31.4 %.In the 76.2 % observed leukocytosis. In the 98.3 % were diagnose nonlithiasic cholecystitis, showing thickening of the wall in the 73.8 %. The findings of the main surgical edema was vesicular at 69,8%, piocolecisto in 12.8 %, hidrocolecisto at 5.8 % and to a lesser frequency gangrene, plastron and pancreatitis. Average surgical time was 75.52 minutes DS ± 20.2. In the majority 40.1 % surgical time was 70-89 minutes. The average number of days of hospitalization was 1.67 days. There were a 3% of complications: vascular lesion 1.8 %,biliary injury 0.6 %, and visceral injury 0.6 %. The main inconvenience was postoperative nausea and vomiting 4.7 % and the pain; mainly moderate pain in 58.6 %. There was a prevalence of mortality of 0 %. Conclusions: The frequency of complications was 3% and the mortality rate is 0 %