<?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[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>S2307-04202022000200007</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2022.agosto.7</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aplicación de la escala de Parkland en colecistectomías videolaparoscópicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Application of the parkland grading scale in video laparoscopic cholecystectomies]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sisa-Segovia]]></surname>
<given-names><![CDATA[César Giuliano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guggiari]]></surname>
<given-names><![CDATA[Bruno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cacace]]></surname>
<given-names><![CDATA[Karina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luraschi]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas, Primera Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas, Servicio de Emergencias]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>46</volume>
<numero>2</numero>
<fpage>7</fpage>
<lpage>11</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202022000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202022000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202022000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: La escala de Parkland es una escala visual intraoperatoria para intentar prevenir complicaciones en colecistetomías videolaparoscópicas. Materiales y Métodos: estudio observacional descriptivo de corte transversal, temporalmente retrospectivo. Se aplico la escala de Parkland en pacientes sometidos a colecistectomía videolaparoscópica en la I Cátedra y Servicio de Clínica Quirúrgica del Hospital de Clínicas durante el año 2021. Resultados: Se estudiaron 267 pacientes sometidos a colecistectomía videolaparoscópica. El 29,59% presentó una clasifica ción de Grado I, el 37,83% Grado II, el 18,73% Grado III, el 10,49% Grado IV y el 3,37% Grado V. La cirugía realizada fue colecistectomía video laparoscópica total en el 95,13% de los casos, con una tasa de conversión del 4,49%. El antecedente de ictericia obstructiva litiásica, la hiperbilirrubinemia, elevación de fosfatasa alcalina, IMC elevado, tipo de ciru gía (programada/urgencias), diagnóstico de colecistitis aguda, tiempo de cirugía, cirugía realizada y utilización de drenaje de cavidad vemos que aumentan a mayores grados de Parkland (p&lt;0,05). Conclusión: La escala de Parkland permite decidir la estrategia quirúrgica inicial en el intraoperatorio y además realizar comparaciones de resultados e infor mes de tasas de complicaciones más justos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT 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 &lt; .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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Parkland]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[mínimamente in vasiva]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Parkland]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[minimally invasive]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
</kwd-group>
</article-meta>
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