Mini-laparotomia vs. video-laparoscopia en el tratamiento de la litiasis biliar. Estudio prospectivo y comparativo
Background: Laparoscopic cholecystectomy is considerated as the gold standard for the gallbaldder stones treatment, however, in the international literature the adapted smaller incisions is still an alternative procedure. Objetives: To compare the results of the laparoscopic cholecystectomy with the...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2015
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/9205 |
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I10-R327-article-9205 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
Litiasis vesicular Colecistectomía con Incisiones pequeñas adaptadas Colecistectomía laparoscópica Complicaciones postoperatorias. |
| spellingShingle |
Litiasis vesicular Colecistectomía con Incisiones pequeñas adaptadas Colecistectomía laparoscópica Complicaciones postoperatorias. Lada, Paul Eduardo Mini-laparotomia vs. video-laparoscopia en el tratamiento de la litiasis biliar. Estudio prospectivo y comparativo |
| topic_facet |
Litiasis vesicular Colecistectomía con Incisiones pequeñas adaptadas Colecistectomía laparoscópica Complicaciones postoperatorias. |
| author |
Lada, Paul Eduardo |
| author_facet |
Lada, Paul Eduardo |
| author_sort |
Lada, Paul Eduardo |
| title |
Mini-laparotomia vs. video-laparoscopia en el tratamiento de la litiasis biliar. Estudio prospectivo y comparativo |
| title_short |
Mini-laparotomia vs. video-laparoscopia en el tratamiento de la litiasis biliar. Estudio prospectivo y comparativo |
| title_full |
Mini-laparotomia vs. video-laparoscopia en el tratamiento de la litiasis biliar. Estudio prospectivo y comparativo |
| title_fullStr |
Mini-laparotomia vs. video-laparoscopia en el tratamiento de la litiasis biliar. Estudio prospectivo y comparativo |
| title_full_unstemmed |
Mini-laparotomia vs. video-laparoscopia en el tratamiento de la litiasis biliar. Estudio prospectivo y comparativo |
| title_sort |
mini-laparotomia vs. video-laparoscopia en el tratamiento de la litiasis biliar. estudio prospectivo y comparativo |
| description |
Background: Laparoscopic cholecystectomy is considerated as the gold standard for the gallbaldder stones treatment, however, in the international literature the adapted smaller incisions is still an alternative procedure.
Objetives: To compare the results of the laparoscopic cholecystectomy with the cholecystectomy by adapted smaller incisions.
Design: Prospective and comparative protocolized study.
Materials and Methods: Between January 1994 and December 2011, we have performed 3822 cholecystectomy in the General Surgic Service “Pablo Luis Mirizzi” of the National Clinic Hospital of Córdoba. In 1735 patients we made laparoscopic cholecystectomy (LC) and in 2087 cholecystectomy by adapted smaller incisions (ASI). This two groups are comparable in age, gender, previous surgeries and preoperative diagnostic.
Results: We had non mortality, 115 cases (6.62 %) in the laparoscopic cholecystectomy were converted to open surgery. Postoperative complications for LC were 2.40 % and for ASI 6.37 %. Bilirraghe was superior and more serious in LC with an incidence of 0.55 % while for ASI was 0.23%.
Conclusions: In expert hands, laparoscopic cholecystectomy is the gold standard for the treatment of gallbaldder stones. However, in place with restricted butget the cholecystectomy by adapted smaller incisions can be an alternative gold standard. It´s a sure and economic proceedment, with a reasonable complexity and less index of surgical lesions.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2015 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/9205 |
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2024-09-03T20:59:18Z |
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2024-09-03T20:59:18Z |
| _version_ |
1809210051134488576 |
| spelling |
I10-R327-article-92052024-08-27T18:19:31Z Mini-laparotomia vs. video-laparoscopia en el tratamiento de la litiasis biliar. Estudio prospectivo y comparativo Lada, Paul Eduardo Litiasis vesicular Colecistectomía con Incisiones pequeñas adaptadas Colecistectomía laparoscópica Complicaciones postoperatorias. Background: Laparoscopic cholecystectomy is considerated as the gold standard for the gallbaldder stones treatment, however, in the international literature the adapted smaller incisions is still an alternative procedure. Objetives: To compare the results of the laparoscopic cholecystectomy with the cholecystectomy by adapted smaller incisions. Design: Prospective and comparative protocolized study. Materials and Methods: Between January 1994 and December 2011, we have performed 3822 cholecystectomy in the General Surgic Service “Pablo Luis Mirizzi” of the National Clinic Hospital of Córdoba. In 1735 patients we made laparoscopic cholecystectomy (LC) and in 2087 cholecystectomy by adapted smaller incisions (ASI). This two groups are comparable in age, gender, previous surgeries and preoperative diagnostic. Results: We had non mortality, 115 cases (6.62 %) in the laparoscopic cholecystectomy were converted to open surgery. Postoperative complications for LC were 2.40 % and for ASI 6.37 %. Bilirraghe was superior and more serious in LC with an incidence of 0.55 % while for ASI was 0.23%. Conclusions: In expert hands, laparoscopic cholecystectomy is the gold standard for the treatment of gallbaldder stones. However, in place with restricted butget the cholecystectomy by adapted smaller incisions can be an alternative gold standard. It´s a sure and economic proceedment, with a reasonable complexity and less index of surgical lesions. Antecedentes: La colecistectomía por video-laparoscópica es considerada como el gold-standard del tratamiento de la colecistolitiasis. No obstante, en la literatura internacional sigue teniendo presencia las incisiones pequeñas adaptadas como procedimiento alternativo. Objetivos: El objetivo de este estudio es evaluar los resultados obtenidos con la video-laparoscopia (CVL) y las incisiones pequeñas adaptadas (IPA) en el tratamiento de la colecistolitiasis. Diseño: Prospectivo y comparativo protocolizado. Lugar de aplicación: Servicio de Cirugía General “Pablo Luis Mirizzi” del Hospital Nacional de Clínicas. Material y Métodos: Entre enero del 1994 y diciembre del 2011, hemos tratado quirúrgicamente 3822 pacientes con colélitiasis. En 1735 pacientes se práctico una CVL y en 2087 por IPA, configurando dos grupos, que en lo relacionado a la edad, sexo, operaciones previas y diagnóstico preoperatorio constituyen dos grupos comparables. Resultados: Ninguno de los procedimientos tuvo mortalidad. 115 casos (6,62%) fueron convertidos a cirugía abierta en la CVL. Las complicaciones postoperatorias quirúrgicas fueron del 2,40 % para la CVL y del 6,37 % para las IPA. Las causas de bilirragias fueron superiores y de mayor gravedad en la CVL, cuya incidencia fue del 0,55 % en contraposición del 0,23 % de los operados por IPA. Conclusiones: Sin duda en manos experimentadas la CVL constituye el procedimiento de elección o gold standard en el tratamiento de la colecistolitiasis. No obstante, sobretodo en ambientes o regiones con restricciones presupuestarias las IPA representa una excelente gold estándar alternativo, por ser un procedimiento seguro, muy económico y complejidad razonable con menor índice de lesiones quirúrgicas graves. Palabras Claves: Litiasis vesicular. Colecistectomía con Incisiones pequeñas adaptadas. Colecistectomía laparoscópica. Complicaciones postoperatorias. SUMMARY: Background: Laparoscopic cholecystectomy is considerated as the gold standard for the gallbaldder stones treatment, however, in the international literature the adapted smaller incisions is still an alternative procedure. Objetives: To compare the results of the laparoscopic cholecystectomy with the cholecystectomy by adapted smaller incisions. Design: Prospective and comparative protocolized study. Materials and Methods: Between January 1994 and December 2011, we have performed 3822 cholecystectomy in the General Surgic Service “Pablo Luis Mirizzi” of the National Clinic Hospital of Córdoba. In 1735 patients we made laparoscopic cholecystectomy (LC) and in 2087 cholecystectomy by adapted smaller incisions (ASI). This two groups are comparable in age, gender, previous surgeries and preoperative diagnostic. Results: We had non mortality, 115 cases (6.62 %) in the laparoscopic cholecystectomy were converted to open surgery. Postoperative complications for LC were 2.40 % and for ASI 6.37 %. Bilirraghe was superior and more serious in LC with an incidence of 0.55 % while for ASI was 0.23%. Conclusions: In expert hands, laparoscopic cholecystectomy is the gold standard for the treatment of gallbaldder stones. However, in place with restricted butget the cholecystectomy by adapted smaller incisions can be an alternative gold standard. It´s a sure and economic proceedment, with a reasonable complexity and less index of surgical lesions. Key words: Gallbaldder stones. Cholecystectomy by adapted smaller incisions. Laparoscopic cholecystectomy. Postoperative complications. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2015-09-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/9205 10.31053/1853.0605.v72.n3.9205 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 72 No. 3 (2015); 152-160 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 72 Núm. 3 (2015); 152-160 Revista da Faculdade de Ciências Médicas de Córdoba; v. 72 n. 3 (2015); 152-160 1853-0605 0014-6722 10.31053/1853.0605.v72.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/9205/13738 Derechos de autor 2015 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |