<?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>S2307-04202020000100007</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2020.abril.7-11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Causas de conversión de colecistectomía videolaparoscópica en la Segunda Cátedra de Clínica Quirúrgica y el Servicio de Urgencias del Hospital de Clínicas, FCM UNA (2015-2018)]]></article-title>
<article-title xml:lang="en"><![CDATA[Causes of conversion of videolaparoscopic cholecystectomy in the Second Department of Surgical Clinic and the Emergency Department of the Hospital de Clínicas, FCM UNA (2015-2018)]]></article-title>
</title-group>
<contrib-group>
<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[Armele]]></surname>
<given-names><![CDATA[Christian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alfonzo]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aranda]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cameron]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duré]]></surname>
<given-names><![CDATA[Nadia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ocampo]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villalba]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machaín-Vega]]></surname>
<given-names><![CDATA[Gustavo]]></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, II Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>44</volume>
<numero>1</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=S2307-04202020000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202020000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202020000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La colecistectomía por videolaparoscopía es el procedimiento estándar para la colelitiasis sintomática, sin embargo, existen casos en los que se debe proceder a la conversión a cirugíaabierta. El objetivo fue identificar las causas de conversión de colecistectomías laparoscópicas en el Hospital de Clínicas.  Materiales y métodos: Estudiodescriptivo, de corte transversal, muestreo noprobabilístico. Se analizaron 509 fichas clínicas de laSegunda Cátedra de Clínica Quirúrgica y el servicio de Urgencias de Adultos del Hospital de Clínicas (2015-2018), incluyendo variables como conversión de la cirugía laparoscópica a abierta, causa de conversión, tiempo quirúrgico, cirugía programada o de urgencia, diagnóstico pre y postoperatorio, complicaciones y comorbilidades.  Resultados: El 72,9% era de sexo femenino. El principal motivo de consulta fue dolor en hipocondrio derecho (52,65%). El 7,1% de las cirugías fueron convertidas y la principal causa fue debido a adherencias (44,44%). El tiempo quirúrgico medio fue de 97,65± 45,41 minutos. La principal complicación fue la hemorragia del lecho vesicular (1,2%).  Conclusión: Las causas más comunes de conversión fueron adherencias, hemorragia en el lecho vesicular, fallas técnicas y dificultad para el reconocimiento de elementos anatómicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Videolaparoscopic cholecystectomy is the standard procedure for symptomatic cholelithiasis, however, there are cases in which it is not possible to perform cholecystectomy by videolaparoscopy and the conversion to open surgery should be performed. The aim was to identify the causes of conversion of laparoscopic cholecystectomies in the Hospital de Clínicas.  Materials and methods:  Descriptive, cross-sectional study, non-probabilistic sampling. 509 clinical records were analyzed from the Second Department of Surgical Clinic and the Adult Emergency Department of the Hospital de Clínicas (2015-2018). Variables were included such as conversion of laparoscopic surgery to open, cause of conversion, surgical time, scheduled or emergency surgery, pre and postoperative diagnosis, complications and comorbidities.  Results:  72.9% were female. The main reason for consultation was pain in the right hypochondrium (52.65%). Only 7.1% were converted and the main cause was due to adhesions (44.44%). The mean surgical time was 97.65 minutes. The main complication was bleeding from the gallbladder bed (1.2%).  Conclusion: The most common causes of conversion were adhesions, bleeding from the gallbladder bed, technical failures and difficulty in recognizing anatomical elements.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[videolaparoscópica]]></kwd>
<kwd lng="es"><![CDATA[conversión]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[videolaparoscopic]]></kwd>
<kwd lng="en"><![CDATA[conversion]]></kwd>
</kwd-group>
</article-meta>
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