Scientific Electronic Library Online

 
vol.38 no.1-2Dislipidemia en ancianosNeumonía grave como causa de ingreso en la unidad de terapia intensiva de adultos  índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de seriadas  

Anales de la Facultad de Ciencias Médicas (Asunción)
ISSN 1816-8949 versión impresa

 
 
Como citar este artículo
 
 

Resumen

SAMANIEGO, Castor, GOMEZ, Sandra, RAMIREZ NIZZA, Raúl et al. Colecistectomía laparoscípica. La experiencia de un centro privado. An. Fac. Cienc. Méd. (Asunción), abr. 2005, vol.38, no.1-2, p.68-73. ISSN 1816-8949.

Background: Laparoscopic cholecystectomy (LC) is the standard procedure for gall bladder stones and their complications. Its correct use has advantages and disadvantages. Materials and methods: One hundred thirty consecutive cases of LC performed over one year’s time were analyzed retrospectively to describe demographic characteristics, indications for surgery, technical difficulties and immediate results. Results: The series includes 89 women and 41 men. Average age was 48 (range 16-87) years. Twenty four patients had arterial hypertension, 5 had diabetes mellitus and 7 had both; 6 had asthma and 5 were allergic to medication. Eighty six LC were performed for chronic cholecystitis and 44 for acute cholecystitis (38 lithiasic, 6 alithiasic). Two LC were converted to an open procedure: one due to hemorrhage in a patient with cirrhosis and portal hypertension, and one due to difficulty in the identification of anatomic structures in a patient with acute inflammation and a plastron. One patient had a cerebrovascular accident (CVA) during surgery. Sixty three patients were released from hospital within 24 hours, 47 in two days and the remainder on the fifth postoperative day. Two patients had residual lithiasis which was resolved by endoscopic papillotomy. Conclusion: LC is a safe and effective method of treatment for gall bladder lithiasis. The coexistence of chronic systemic disease does not seem to modify the results.

Palabras claves: Colecistectomía laparoscópica.

        · resumen en español     · texto en español


 

© 2014  Facultad de Ciencias Médicas. Universidad Nacional de Asunción

Dr. José P. Montero e/ Dr. Mario Mazzei
C.P. 1120 Asunción - Paraguay
Tel.: 0595 021 420187



efacim@med.una.py