Causas de conversión de la colecistectomía laparóscopica en el Hospital Regional Isidro Ayora de la ciudad de Loja, en el año 2014.
Laparoscopic cholecystectomy is the treatment of choice as to the resolution of benign gallbladder disease, but sometimes there is a need to convert to open surgery for various reasons to avoid complications in patients. This research work is a retrospective, descriptive and cross sectional study. A...
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| Format: | bachelorThesis |
| Langue: | spa |
| Publié: |
2016
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| Accès en ligne: | http://dspace.unl.edu.ec/jspui/handle/123456789/16929 |
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Ajouter un tag | Résumé: | Laparoscopic cholecystectomy is the treatment of choice as to the resolution of benign gallbladder disease, but sometimes there is a need to convert to open surgery for various reasons to avoid complications in patients. This research work is a retrospective, descriptive and cross sectional study. And fulfilled the objectives: to determine the frequency and main causes of conversion of laparoscopic cholecystectomy in patients treated at the hospital Isidro Ayora in 2014 by age, sex and origin; and compare the preoperative diagnosis with postoperative diagnosis of patients converted from conventional laparoscopic surgery. For this study, 140 patients referred to hospital were evaluated during 2014, using inclusion and exclusion criteria. Medical records, postoperative notes and data collection form was used. Patients were classified according to gender , age , origin and presence of conversion or intraoperatively. The conversion rate in this study was 3.6%, the main cause of conversion were adhesions 40%, followed with 20% each one: lesion of the biliary tract, inflammation of acute / subacute bladder and failure surgical instruments. Females present 60% of cases versus 40% in male group, age being most frequently the conversion of between 23 to 32 years. The conversion emerging surgeries (22.2%) is higher compared to elective surgery (2.3%). With these results it is concluded that there is a low frequency conversion in the study, below the rates found and similar investigations, the causes of conversion are similar to studies in the region and a higher conversion rate in females and a higher rate of conversion into emergency surgery elective. Keywords: laparoscopic cholecystectomy, conversion causes |
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