<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202017000300021</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.diciembre.21-32</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[&#8220;VENTAJAS Y DESVENTAJAS DE LA CIRUGÍA VIDEOLAPAROSCOPICA SOBRE LA CIRUGÍA ABIERTA EN COLECISTECTOMÍA REALIZADAS EN LA SEGUNDA CÁTEDRA DE CLÍNICA QUIRÚRGICA, HOSPITAL DE CLÍNICAS, SAN LORENZO, PARAGUAY 2017&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA["ADVANTAGES AND DISADVANTAGES OF VIDEOLAPAROSCOPIC SURGERY ON OPEN SURGERY IN CHOLECYSTECTOMY PERFORMED AT THE SECOND CATHEDRA OF SURGICAL CLINIC, HOSPITAL DE CLINICAS, SAN LORENZO, PARAGUAY 2017]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machain Vega]]></surname>
<given-names><![CDATA[Gustavo M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[Christian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amarilla]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bogado]]></surname>
<given-names><![CDATA[Ovidio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Careaga]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guillén]]></surname>
<given-names><![CDATA[Walter]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trinidad]]></surname>
<given-names><![CDATA[Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moura]]></surname>
<given-names><![CDATA[Janio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santander]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Medicas II Cátedra de Clínica Quirúrgica. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Medicas II Cátedra de Clínica Quirúrgica. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas. Facultad de Ciencias Medicas Estudiantes del quinto año de Medicina. II Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>41</volume>
<numero>3</numero>
<fpage>21</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202017000300021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202017000300021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202017000300021&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La colelitiasis, la colecistitis aguda y la crónica son patologías frecuentes del tracto hepatobiliar que requieren tratamiento netamente quirúrgico.  Objetivo: Exponer las ventajas y desventajas de la colecistectomía abierta y laparoscópica.  Materiales y Métodos: Estudio prospectivo, observacional, descriptivo. Se incluyeron dos grupos de pacientes con patología de vesícula biliar con diagnóstico clínico y corroborada por ultrasonido que ameritaron manejo quirúrgico de urgencia o programada durante el periodo comprendido de mayo a julio de 2017.  Resultados:  De 50 colecistectomías, 31 se realizaron por vía laparoscópica (CVL) y 19 por vía convencional (CC). La tasa de conversión fue de 6%. Se encontró un tiempo quirúrgico promedio de 1 hora 46 minutos para la CC y 1 hora 28 minutos para la CVL. La deambulación independiente a las 12 horas se registró en el 15,79% de los pacientes sometidos a CC, y en el 70,97 % de los operados por CVL. Los pacientes operados por CC tardaron en promedio 25,5 horas en reanudar la ingesta por vía oral luego de la cirugía; y los operados por CVL tardaron en promedio, 19,9 horas. La necesidad de analgesia postoperatoria fue de 89,49% en la CC con un tiempo promedio de administración de 3,6 días; y en la CVL fue de 93,55% con un tiempo promedio de 1,3 días. La tasa de complicaciones intraoperatorias fue de 15,79 % en la CC y de 16,13% en la CVL. Los pacientes operados por CC tardaron en retornar al trabajo en promedio 39 días; y los operados por CVL, 25,5 días. La satisfacción del paciente con respecto a su cirugía en la CC fue de 59,37 % y en la CVL 87,1%.  Conclusiones:  la colecistectomía laparoscópica es mejor con respecto a la colecistectomía abierta en el manejo de patología vesicular, con un menor tiempo quirúrgico, menor porcentaje de complicaciones postoperatorias, mayor porcentaje de deambulación independiente, menor estancia hospitalaria, menor demora en cuanto a retorno al trabajo y un resultado estético más aceptado y preferido por los pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Cholelithiasis, acute cholecystitis and chronic are common pathology of the hepatobiliary tract that clearly require surgical treatment. Open cholecystectomy has been the gold standard for over 100 years. Laparoscopic cholecystectomy was introduced in the 1980s taking its place. Nowadays, the discussions continues regarding the quirurgical management of the gallbladder disease.  Objective: To expose the advantages and disadvantages of open and laparoscopic cholecystectomy.  Materials and Methods: prospective, observational study. Two groups of patients with gallbladder pathology clinically diagnosed and confirmed by ultrasound that required surgical management of emergency or scheduled during the period from May to July 2017. The variables evaluated were: gender, age, origin, occupation, underlying pathologies, complaint, pre diagnostic and postoperative, mode of surgery, surgical time, intraoperative and postoperative complications, conversion rate, hospital stay pre and postsurgical, resume time intake oral food, independent to 12 hours, return to work, use of antibiotics and analgesia, fever, aesthetic satisfaction and ambulation.  Results: Fifty cholecystectomies were recorded, of which 31 were performed laparoscopically (CVL) and 19 were conventional (CC). The conversion rate was 6%. An average surgical time of 1 hour 46 minutes for CC and 1 hour 28 minutes for CVL was found. Independent walking at 12 hours was recorded in 15.79% of patients undergoing CC, and in 70.97% of those operated by CVL. Patients undergoing CCT took an average of 25.5 hours to resume oral intake after surgery; and those operated by CVL took an average of 19.9 hours. The need for postoperative analgesia was 89.49% in CC with an average time of administration of 3.6 days; and in the CVL was 93.55% with an average time of 1.3 days. The rate of intraoperative complications was 15.79% in CC and 16.13% in CVL. Patients underwent CC delayed returning to work on average 39 days; and those operated by CVL, 25.5 days. The patient's satisfaction with his surgery in the CC was 59.37% and in the CVL 87.1%.  Conclusions: laparoscopic cholecystectomy outperforms open cholecystectomy in the management of vesicular pathology, which results in the results with a shorter surgical, lower percentage of postoperative complications, greater percentage of independent walking at 12 hours after surgery, shorter hospital stay, less delay in return to work and a more accepted and preferred aesthetic result by patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colecistectomía abierta]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[coledocolitiasis]]></kwd>
<kwd lng="es"><![CDATA[comparación]]></kwd>
<kwd lng="es"><![CDATA[laparoscópica.]]></kwd>
<kwd lng="en"><![CDATA[open cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
<kwd lng="en"><![CDATA[gallstones disease]]></kwd>
<kwd lng="en"><![CDATA[comparison]]></kwd>
<kwd lng="en"><![CDATA[laparoscopy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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