Abstract

SISA-SEGOVIA, Cesar Giuliano et al. Prevalence of conversion of laparoscopic cholecystectomies in the Hospital de Clinicas during the year 2021. Cir. parag. [online]. 2021, vol.45, n.3, pp.19-22. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.2021.diciembre.19.

Objective Determine the prevalence of conversion of videolaparoscopic cholecystectomies in the Hospital de Clínicas during the year 2021.

Materials and Methods 317 cases of patients undergoing laparoscopic cholecystectomy in the Sala X, Hospital de Clinicas, from January to October 2021. Observational, descriptive, cross-sectional, temporally retrospective study. Non-probability sampling of consecutive cases.

Results Our conversion rate is 2.2% (7 patients), the main cause was the lack of identification of the structures of the Calot's triangle due to firm adhesions. The surgery performed was reconstituting subtotal cholecystectomy in 4 cases (57.14%) and total cholecystectomy in 3 cases. The main diagnosis was gangrenous acute cholecystitis. The mean duration of surgery in these patients was 162.14 +/- 41.01 minutes. The average length of stay was 3.5 +/- 1.91 days. We did not find postoperative complications after 30 days of follow-up.

Conclusion The results obtained in this work are similar to the conversion rate obtained by surgeons with experience in the international literature.

Keywords : cholelithiasis; laparoscopic cholecystectomy; conversion to open surgery, risk factors..

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