Emergency laparoscopic cholecystectomy: Hospital de San José, Bogotá DC.

Colecistectomía laparoscóp ica de urgencia experiencia en el hospital de San José, Bogotá DC

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Guillermo Eduardo Aldana Dimas
Carmen Milena Socanás Galeano
Néstor Julián Tinoco Guzmán
Juan Pablo Villate León
Gabriel Ricardo Molina

Abstract

lntroduction: acute conditions such as cholecystitis may be treated with minimally invasive techniques with good re­ sults in terms ofmorbidity and mortality. Objective: to analyze the outcome oflaparoscopic cholecystectomy for acute cholecystitis performed at Hospital de San José, Bogotá DC, between January 2010 and January 2011. Materials and Metlwds: series ofcases who underwent laparoscopic cholecystectomy. Variables such as, clinical, Iab and complemen­ tary exams, time period between onset ofsymptoms and surgery, operative time, conversion rates and complication rates were reviewed. Results: of 267 patients, 173 (64.8%) were females, median age was 43 years (IQR: 33-56). At admission 130 (48%) cases were classified as moderate and 2 (0.9%) as severe cholecystitis. In 142 (53.1%) cases in­ traoperative findings were interpreted as the acute phase of acute cholecystitis. The histology/pathology correlation revealed an equal number for acute and chronic cholecystitis (126; 48%) and only chronic cholecystitis. 221 (82.7%) patients underwent surgery in the first three days. Conversion was necessary in 25 (9.3%) cases and there was only one death (0.3%) in the early postoperative period. Conclusions: acute cholecystitis and chronic biliary pain are the most frequent causes of emergency cholecystectomy and the pathological finding described as chronic phase corres­ ponded to chronic biliary pain episodes. When performed early, this surgical procedure is associated with reduced morbidity and mortality.

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