bachelorThesis
Desenlaces quirúrgicos en pacientes con cáncer gástrico sometidos a gastrectomía abierta vs gastrectomía laparoscópica en el Hospital Erasmo Meoz en la ciudad de Cúcuta, Colombia, entre el año 2012 y 2014
Fecha
2017Autor
Zapata Ardila, Sandra
Oliveros Ortiz, Maria Paula
Carvajal Ospina, Adriana
Institución
Resumen
Introduction: According to the World Health Organization, in 2012 approximately one million cases of gastric cancer were diagnosed worldwide; this disease is among the top 5 causes of cancer among both men and women. Open and laparoscopic gastrectomy as therapeutic options, can contribute to the improvement of the quality of life of patients, as well as reduce risk factors associated with the disease, providing increased survival. Objective: To establish if there is any difference among the surgical outcomes in pacients with gastric cancer who undergo open gastrectomy versus laparoscopic gastrectomy in Erasmo Meoz Hospital, in Cucuta city, Colombia, between the years 2012 and 2014. Methods: An observational analytical retrospective cohort study was conducted in two groups of patients with open gastrectomy and laparoscopic gastrectomy. Results: A descriptive analysis in which it was shown that the total sample of 46 individuals was represented by 65% for male subjects and 35% female, with a median age of 57 years (RI of 12 years). No statistically significant differences between groups regarding sex, age, previous surgery and type of previous surgery (p> 0.05) were found. A satistically significant difference in surgical time (p <0.05) among the two groups was found. Among the postoperative stay variable, an average of 8.39 days was found. No significant differences (p = 0.44) were found in this variable. For variables with more than two categories Cramer V coefficient for medical complications (urinary tract infection and pneumonia) a moderate effect (Cramer's V = 0.5) was found. Conclusions: Laparoscopic gastrectomy as a treatment for patients with gastric cancer represents an alternative to open surgery, which helps reduce the negative postoperative outcomes, a variable that has a clear impact on the recovery of the patient, the survival period and also aids in reducing the costs of medical and institutional management of this population.