Factores de riesgo preoperatorios asociados a conversión a técnica abierta en colecistectomía laparoscópica de urgencia

dc.contributorRuíz Steimberg, Jaime Enrique
dc.creatorChinchilla Hermida, Paola Andrea
dc.creatorBaquero Zamarra, David Ricardo
dc.date.accessioned2016-10-21T15:33:44Z
dc.date.available2016-10-21T15:33:44Z
dc.date.created2016-10-21T15:33:44Z
dc.date.issued2016
dc.identifierhttp://repository.urosario.edu.co/handle/10336/12471
dc.identifierhttps://doi.org/10.48713/10336_12471
dc.description.abstractIntroduction: laparoscopic cholecystectomy is the election technique for patients with indication for gallbladder extraction. Nevertheless, near 20% of them require conversion to open surgery. In this study we evaluated preoperative risk factors for conversion in patients carried to emergency laparoscopic cholecystectomy. Metodology: a case-control unmatched study was conducted. Sociodemographic information and other interest variables were took from medical records of patients carried to surgery from 2013 to 2016. Conversion reasons were identified and study population was characterized. Correlations test were established and logistic regression was performed for evaluating the role of confounding factors. Results: we analized medical records from 444 patients (111 cases and 333 controls). Commonest conversion reason was technical difficulty (50, 5%). Older age, male sex, previous open upper abdominal surgery, Murphy sign, bile duct dilation, total white cell count > 12. 000/mm3 and more experienced surgeon, were all risk factors for conversion to open surgery. Area under COR curve was 0. 743 (CI95% 0. 692–0. 794, p= < 0. 001). Discussion: some factors increase the risk for conversion to open surgery in laparoscopic cholecystectomy. Most of them are related to an advanced gallbladder inflammation process, so extending time from symptoms beginning to surgical extraction of this organ, must be avoided.
dc.languagespa
dc.publisherUniversidad del Rosario
dc.publisherFacultad de medicina
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAbierto (Texto completo)
dc.rightsEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
dc.source1. Tazuma S. Epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic). Best practice & research Clinical gastroenterology. 2006;20(6):1075-83.
dc.source2. Friedman GD. Natural history of asymptomatic and symptomatic gallstones. The American journal of surgery. 1993;165(4):399-404.
dc.source3. Csikesz N, Ricciardi R, Tseng JF, Shah SA. Current status of surgical management of acute cholecystitis in the United States. World journal of surgery. 2008;32(10):2230-6.
dc.source4. Harboe KM, Bardram L. Nationwide quality improvement of cholecystectomy: results from a national database. International Journal for Quality in Health Care. 2011:mzr041.
dc.source5. Kaafarani HM, Smith TS, Neumayer L, Berger DH, DePalma RG, Itani KM. Trends, outcomes, and predictors of open and conversion to open cholecystectomy in Veterans Health Administration hospitals. The American Journal of Surgery. 2010;200(1):32-40.
dc.source6. Goonawardena J, Gunnarsson R, de Costa A. Predicting conversion from laparoscopic to open cholecystectomy presented as a probability nomogram based on preoperative patient risk factors. The American Journal of Surgery. 2015.
dc.source7. Schäfer M, Schneiter R, Krähenbühl L. Incidence and management of Mirizzi syndrome during laparoscopic cholecystectomy. Surgical Endoscopy And Other Interventional Techniques. 2003;17(8):1186-90.
dc.source8. Livingston EH, Rege RV. A nationwide study of conversion from laparoscopic to open cholecystectomy. The American journal of surgery. 2004;188(3):205-11.
dc.source9. Eldar S, Sabo E, Nash E, Abrahamson J, Matter I. Laparoscopic cholecystectomy for acute cholecystitis: prospective trial. World journal of surgery. 1997;21(5):540-5.
dc.source10. Tang B, Cuschieri A. Conversions during laparoscopic cholecystectomy: risk factors and effects on patient outcome. Journal of gastrointestinal surgery. 2006;10(7):1081-91.
dc.source11. Harboe KM, Bardram L. The quality of cholecystectomy in Denmark: outcome and risk factors for 20,307 patients from the national database. Surgical endoscopy. 2011;25(5):1630-41.
dc.source12. Johansson M, Thune A, Nelvin L, Stiernstam M, Westman B, Lundell L. Randomized clinical trial of open versus laparoscopic cholecystectomy in the treatment of acute cholecystitis. British journal of surgery. 2005;92(1):44-9.
dc.source13. Dolan JP, Diggs BS, Sheppard BC, Hunter JG. The national mortality burden and significant factors associated with open and laparoscopic cholecystectomy: 1997–2006. Journal of Gastrointestinal Surgery. 2009;13(12):2292-301.
dc.source14. Brodsky A, Matter I, Sabo E, Cohen A, Abrahamson J, Eldar S. Laparoscopic cholecystectomy for acute cholecystitis: Can the need for conversion and the probability of complications be predicted? Surgical endoscopy. 2000;14(8):755-60.
dc.source15. Philip Rothman J, Burcharth J, Pommergaard H-C, Viereck S, Rosenberg J. Preoperative Risk Factors for Conversion of Laparoscopic Cholecystectomy to Open Surgery-A Systematic Review and Meta-Analysis of Observational Studies. Digestive surgery. 2016;33(5):414-23.
dc.source16. Van der Steeg H, Alexander S, Houterman S, Slooter G, Roumen R. Risk factors for conversion during laparoscopic cholecystectomy—experiences from a general teaching hospital. Scandinavian Journal of Surgery. 2011;100(3):169-73.
dc.source17. Lee NW, Collins J, Britt R, Britt LD. Evaluation of preoperative risk factors for converting laparoscopic to open cholecystectomy. Am Surg. 2012;78(8):831-3.
dc.source18. Mederi HUM. Archivos Corporación Juan Ciudad. In: Archivo Ád, editor. 2015.
dc.source19. Müller B, Holzinger F, Leepin H, Klaiber C. Laparoscopic cholecystectomy: Quality of care and benchmarking. Surgical Endoscopy And Other Interventional Techniques. 2003;17(2):300-5.
dc.source20. Keus F, Gooszen HG, van Laarhoven CJ. Open, small‐incision, or laparoscopic cholecystectomy for patients with symptomatic cholecystolithiasis. An overview of Cochrane Hepato‐Biliary Group reviews. The Cochrane Library. 2010.
dc.source21. Kimura Y, Takada T, Kawarada Y, Nimura Y, Hirata K, Sekimoto M, et al. Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines. Journal of hepato-biliary-pancreatic surgery. 2007;14(1):15-26.
dc.source22. Gouma DJ, Obertop H. Acute Calculous Cholecystitis: What is new in diagnosis and therapy? HPB surgery. 1992;6(2):69-78.
dc.source23. Yokoe M, Takada T, Strasberg SM, Solomkin JS, Mayumi T, Gomi H, et al. TG13 diagnostic criteria and severity grading of acute cholecystitis (with videos). Journal of hepato-biliary-pancreatic sciences. 2013;20(1):35-46.
dc.source24. McSherry C, Ferstenberg H, Virshup M. The Mirizzi syndrome: suggested classification and surgical therapy. Surg Gastroenterol. 1982;1(2):219.
dc.source25. Ercan M, Bostanci EB, Teke Z, Karaman K, Dalgic T, Ulas M, et al. Predictive factors for conversion to open surgery in patients undergoing elective laparoscopic cholecystectomy. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2010;20(5):427-34.
dc.source26. Lipman JM, Claridge JA, Haridas M, Martin MD, Yao DC, Grimes KL, et al. Preoperative findings predict conversion from laparoscopic to open cholecystectomy. Surgery. 2007;142(4):556-65.
dc.source27. Zhang WJ, Li JM, Wu GZ, Luo KL, Dong ZT. Risk factors affecting conversion in patients undergoing laparoscopic cholecystectomy. ANZ journal of surgery. 2008;78(11):973-6.
dc.source28. Sultan AM, El Nakeeb A, Elshehawy T, Elhemmaly M, Elhanafy E, Atef E. Risk Factors for Conversion during Laparoscopic Cholecystectomy: Retrospective Analysis of Ten Years' Experience at a Single Tertiary Referral Centre. Digestive surgery. 2013;30(1):51-5.
dc.source29. Yol S, Kartal A, Vatansev C, Aksoy F, Toy H. Sex as a factor in conversion from laparoscopic cholecystectomy to open surgery. JSLS, Journal of the Society of Laparoendoscopic Surgeons. 2006;10(3):359-63.
dc.source30. Simopoulos C, Polychronidis A, Botaitis S, Perente S, Pitiakoudis M. Laparoscopic cholecystectomy in obese patients. Obesity surgery. 2005;15(2):243-6.
dc.source31. Kim MS, Kwon H-J, Park HW, Park JY, Chung E-C, Park H-J, et al. Preoperative prediction model for conversion of laparoscopic to open cholecystectomy in patient with acute cholecystitis: based on clinical, laboratory, and CT parameters. Journal of computer assisted tomography. 2014;38(5):727-32.
dc.source32. Lau H, Lo C, Patil N, Yuen W. Early versus delayed-interval laparoscopic cholecystectomy for acute cholecystitis. Surgical Endoscopy and Other Interventional Techniques. 2006;20(1):82-7.
dc.source33. Oymaci E, Ucar AD, Aydogan S, Sari E, Erkan N, Yildirim M. Evaluation of affecting factors for conversion to open cholecystectomy in acute cholecystitis. Prz Gastroenterol. 2014;9(6):336-41.
dc.source34. Lim K, Ibrahim S, Tan N, Lim S, Tay K. Risk factors for conversion to open surgery in patients with acute cholecystitis undergoing interval laparoscopic cholecystectomy. ANNALS-ACADEMY OF MEDICINE SINGAPORE. 2007;36(8):631.
dc.source35. Ballal M, David G, Willmott S, Corless D, Deakin M, Slavin J. Conversion after laparoscopic cholecystectomy in England. Surgical endoscopy. 2009;23(10):2338-44.
dc.source36. Donkervoort SC, Dijksman LM, de Nes LC, Versluis PG, Derksen J, Gerhards MF. Outcome of laparoscopic cholecystectomy conversion: is the surgeon’s selection needed? Surgical endoscopy. 2012;26(8):2360-6.
dc.source37. Voitk AJ, Tsao SG, Ignatius S. The tail of the learning curve for laparoscopic cholecystectomy. The American journal of surgery. 2001;182(3):250-3.
dc.source38. Club TSS, Moore MJ, Bennett CL. The learning curve for laparoscopic cholecystectomy. The American Journal of Surgery. 1995;170(1):55-9.
dc.source39. Domínguez LC, Rivera A, Bermúdez C, Herrera W. Analysis of factors for conversion of laparoscopic to open cholecystectomy: a prospective study of 703 patients with acute cholecystitis. Cirugía Española (English Edition). 2011;89(5):300-6.
dc.source40. Ibrahim S, Hean TK, Ho LS, Ravintharan T, Chye TN, Chee CH. Risk factors for conversion to open surgery in patients undergoing laparoscopic cholecystectomy. World journal of surgery. 2006;30(9):1698-704.
dc.source41. Rosenmüller M, Haapamäki MM, Nordin P, Stenlund H, Nilsson E. Cholecystectomy in Sweden 2000–2003: a nationwide study on procedures, patient characteristics, and mortality. BMC gastroenterology. 2007;7(1):1.
dc.source42. Lee H, Han HS, Min S, Lee JH. Sex‐based analysis of the outcome of laparoscopic cholecystectomy for acute cholecystitis. British journal of surgery. 2005;92(4):463-6.
dc.source43. Richards HM, Reid ME, Watt GCM. Socioeconomic variations in responses to chest pain: qualitative study. Bmj. 2002;324(7349):1308.
dc.source44. Kama NA, Kologlu M, Doganay M, Reis E, Atli M, Dolapci M. A risk score for conversion from laparoscopic to open cholecystectomy. The American journal of surgery. 2001;181(6):520-5.
dc.source45. Knight J, Mercer S, Somers S, Walters A, Sadek S, Toh S. Timing of urgent laparoscopic cholecystectomy does not influence conversion rate. British journal of surgery. 2004;91(5):601-4
dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectcolecistectomía laparoscópica
dc.subjectconversión a cirugía abierta
dc.subjectfactores de riesgo
dc.titleFactores de riesgo preoperatorios asociados a conversión a técnica abierta en colecistectomía laparoscópica de urgencia
dc.typebachelorThesis


Este ítem pertenece a la siguiente institución