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vol.46 issue2Caracterization of laparostomies and after primary-closure course in Hospital Universitario Hernando Moncaleano Perdomo from 2014 to 2018Benefits of videolaparoscopic apendicectomy versus Conventional Technique at the Central Hospital of the FFAA. Period February 2017 - August 2019 author indexsubject indexarticles search
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Cirugía paraguaya

On-line version ISSN 2307-0420


SISA-SEGOVIA, César Giuliano et al. Application of the parkland grading scale in video laparoscopic cholecystectomies. Cir. parag. [online]. 2022, vol.46, n.2, pp.7-11. ISSN 2307-0420.

Introduction: The Parkland grading scale is an intraoperative visual scale to prevent complications in video laparoscopic cholecystectomies. Materials and Methods: it is an observational, descriptive, cross-sectional, temporarily retrospective study. The Parkland grading scale was applied in patients undergoing video laparoscopic cholecystectomies at the Hospital de Clínicas, I Cátedra y Servicio de Clínica Quirúrgica, du ring the year 2021. Results: 267 patients were studied who had undergo ne video laparoscopic cholecystectomy; 29.59% of them showed Grade I classification, 37.83% Grade II, 18.73% Grade III, 10.49% Grade IV, and 3.37% Grade V. The surgery performed was total video laparoscopic cholecystectomy in 95.13% of the cases, with a conversion rate of 4.49%. Having a past medical history obstructive jaundice of lithiasic origin, hyperbilirubinemia, elevated alkaline phosphatase levels, increased BMI, type of surgery (scheduled/emergency), diagnosis of acute chole cystitis, time of surgery, surgery performed, and use of cavity drainage increases the Parkland grades (p < .05). Conclusion: The Parkland grading scale makes it possible to decide on the early surgical strategy in the intraoperative period and make comparisons of the results and reports of fairer rates of complications.

Keywords : Parkland; cholecystectomy; minimally invasive; complications.

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