Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022.

ABSTRACT Cholecystectomy consists of surgical intervention by which the gallbladder is removed as a standard treatment to treat multiple pathologies that affect this organ. Between 10 and 15% of cholecystectomies are difficult due to various complications, so it is essential to establish factors tha...

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Автор: Rivera Córdova, Mayté Valentina (author)
Інші автори: Ortega Moreno, Antonella Katherine (author)
Формат: bachelorThesis
Мова:spa
Опубліковано: 2022
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Онлайн доступ:http://dspace.unach.edu.ec/handle/51000/9562
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author Rivera Córdova, Mayté Valentina
author2 Ortega Moreno, Antonella Katherine
author2_role author
author_facet Rivera Córdova, Mayté Valentina
Ortega Moreno, Antonella Katherine
author_role author
collection Repositorio Universidad Nacional de Chimborazo
dc.contributor.none.fl_str_mv Félix Javier, Valdivieso Menéndez
dc.creator.none.fl_str_mv Rivera Córdova, Mayté Valentina
Ortega Moreno, Antonella Katherine
dc.date.none.fl_str_mv 2022-08-15T21:37:40Z
2022-08-15T21:37:40Z
2022-08-15
dc.format.none.fl_str_mv 79p.
dc.identifier.none.fl_str_mv Rivera Córdova, M y Ortega Moreno, A (2022) Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022. (Tesis de pregrado) Universidad Nacional de Chimborazo, Riobamba, Ecuador.
UNACH-FCS-MED
http://dspace.unach.edu.ec/handle/51000/9562
dc.language.none.fl_str_mv spa
dc.publisher.none.fl_str_mv Universidad Nocional de Chimborazo
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-sa/3.0/ec/
info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:Repositorio Universidad Nacional de Chimborazo
instname:Universidad Nacional de Chimborazo
instacron:UNACH
dc.subject.none.fl_str_mv Colecistectomía difícil
colelitiasis
colecistitis
factores predictores
dc.title.none.fl_str_mv Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022.
dc.type.none.fl_str_mv info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/bachelorThesis
description ABSTRACT Cholecystectomy consists of surgical intervention by which the gallbladder is removed as a standard treatment to treat multiple pathologies that affect this organ. Between 10 and 15% of cholecystectomies are difficult due to various complications, so it is essential to establish factors that can be predictors to prepare its execution, reducing the level of risk. Objective: To determine the most common predictive risk factors for difficult cholecystectomy in patients over 18 years of age at the José María Velasco Ibarra Hospital in the 2021-2022 period. Material and methods: A descriptive, non-experimental and cross-sectional investigation was carried out based on the analysis of 48 medical records of patients diagnosed with cholecystitis and cholelithiasis who underwent cholecystectomy and were considered problematic. The results were analyzed to establish direct linear regression between the factors considered predictors and difficult cholecystectomy. Results: Five statistically significant factors considered predictors of difficult cholecystectomy were found: age, gender, history of diabetes mellitus, obesity, and history of previous abdominal surgeries. Conclusions: Difficult cholecystectomy occurs in 15% of cases at the José María Velasco Ibarra Hospital in Tena, primarily moderate and severe according to Tokyo criteria, associated with common predictive factors previously considered to improve the level of preparation and avoid emergencies. Keywords: Difficult cholecystectomy, cholelithiasis, cholecystitis, predictive factors.
eu_rights_str_mv openAccess
format bachelorThesis
id UNACH_ec1cc63e485af987f255616493970c81
identifier_str_mv Rivera Córdova, M y Ortega Moreno, A (2022) Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022. (Tesis de pregrado) Universidad Nacional de Chimborazo, Riobamba, Ecuador.
UNACH-FCS-MED
instacron_str UNACH
institution UNACH
instname_str Universidad Nacional de Chimborazo
language spa
network_acronym_str UNACH
network_name_str Repositorio Universidad Nacional de Chimborazo
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publishDate 2022
publisher.none.fl_str_mv Universidad Nocional de Chimborazo
reponame_str Repositorio Universidad Nacional de Chimborazo
repository.mail.fl_str_mv .
repository.name.fl_str_mv Repositorio Universidad Nacional de Chimborazo - Universidad Nacional de Chimborazo
repository_id_str 0
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-sa/3.0/ec/
spelling Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022.Rivera Córdova, Mayté ValentinaOrtega Moreno, Antonella KatherineColecistectomía difícilcolelitiasiscolecistitisfactores predictoresABSTRACT Cholecystectomy consists of surgical intervention by which the gallbladder is removed as a standard treatment to treat multiple pathologies that affect this organ. Between 10 and 15% of cholecystectomies are difficult due to various complications, so it is essential to establish factors that can be predictors to prepare its execution, reducing the level of risk. Objective: To determine the most common predictive risk factors for difficult cholecystectomy in patients over 18 years of age at the José María Velasco Ibarra Hospital in the 2021-2022 period. Material and methods: A descriptive, non-experimental and cross-sectional investigation was carried out based on the analysis of 48 medical records of patients diagnosed with cholecystitis and cholelithiasis who underwent cholecystectomy and were considered problematic. The results were analyzed to establish direct linear regression between the factors considered predictors and difficult cholecystectomy. Results: Five statistically significant factors considered predictors of difficult cholecystectomy were found: age, gender, history of diabetes mellitus, obesity, and history of previous abdominal surgeries. Conclusions: Difficult cholecystectomy occurs in 15% of cases at the José María Velasco Ibarra Hospital in Tena, primarily moderate and severe according to Tokyo criteria, associated with common predictive factors previously considered to improve the level of preparation and avoid emergencies. Keywords: Difficult cholecystectomy, cholelithiasis, cholecystitis, predictive factors.RESUMEN Introducción: La colecistectomía consiste en la intervención quirúrgica mediante la cual se extrae la vesícula biliar como tratamiento común para tratar múltiples patologías que afectan a este órgano, entre el 10 y 15% de las colecistectomías se consideran difíciles por diversas complicaciones por lo que es importante establecer factores que pueden ser predictores con el fin de preparar su ejecución menorando el nivel de riesgo. Objetivo: Determinar los factores de riesgo más comunes predictores de colecistectomía difícil en pacientes mayores de 18 años de edad en el Hospital José María Velasco Ibarra en el periodo 2021-2022. Material y métodos: Se realizó una investigación de tipo descriptivo, no experimental y de corte transversal, partiendo del análisis de 48 historias clínicas de pacientes con diagnósticos de colecistitis y colelitiasis que fueron sometidos a colecistectomía y se consideraron difíciles, los resultados se analizaron para establecer la regresión lineal directa entre los factores considerados predictores y la colecistectomía difícil. Resultados: Se encontraron 5 factores significativos estadísticamente considerados predictores de colecistectomía difícil: edad, género, antecedentes de diabetes mellitus, obesidad y antecedentes de cirugías abdominales previas. Conclusiones: La colecistectomía difícil se presenta en un 15% de casos en el Hospital José María Velasco Ibarra del Tena, mayormente moderadas y severas según criterio Tokio, asociadas a factores predictivos comunes que pueden ser considerados previamente para mejorar el nivel de preparación y evitar urgencias.UNACH,EcuadorUniversidad Nocional de ChimborazoFélix Javier, Valdivieso Menéndez2022-08-15T21:37:40Z2022-08-15T21:37:40Z2022-08-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesis79p.Rivera Córdova, M y Ortega Moreno, A (2022) Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022. (Tesis de pregrado) Universidad Nacional de Chimborazo, Riobamba, Ecuador.UNACH-FCS-MEDhttp://dspace.unach.edu.ec/handle/51000/9562spahttp://creativecommons.org/licenses/by-nc-sa/3.0/ec/info:eu-repo/semantics/openAccessreponame:Repositorio Universidad Nacional de Chimborazoinstname:Universidad Nacional de Chimborazoinstacron:UNACH2023-02-04T08:03:06Zoai:localhost:51000/9562Institucionalhttp://dspace.unach.edu.ec/Universidad públicahttps://www.unach.edu.ec/http://dspace.unach.edu.ec/oai.Ecuador...opendoar:02023-02-04T08:03:06Repositorio Universidad Nacional de Chimborazo - Universidad Nacional de Chimborazofalse
spellingShingle Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022.
Rivera Córdova, Mayté Valentina
Colecistectomía difícil
colelitiasis
colecistitis
factores predictores
status_str publishedVersion
title Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022.
title_full Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022.
title_fullStr Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022.
title_full_unstemmed Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022.
title_short Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022.
title_sort Factores predictores de colecistectomía difícil en adultos. Hospital José María Velasco Ibarra. Tena, 2021 – 2022.
topic Colecistectomía difícil
colelitiasis
colecistitis
factores predictores
url http://dspace.unach.edu.ec/handle/51000/9562