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Revista Médica del Uruguay

versión impresa ISSN 0303-3295versión On-line ISSN 1688-0390

Resumen

HARO BELLO, Camila et al. Morbimortality of elective laparoscopic cholecystectomy in a university hospital. Rev. Méd. Urug. [online]. 2021, vol.37, n.1, e202.  Epub 01-Mar-2021. ISSN 0303-3295.  http://dx.doi.org/10.29193/rmu.37.1.2.

Introduction:

laparoscopic cholecystectomy (LC) is the most frequent surgery of the digestive tract. Despite it being considered a safe procedure, morbidity is reported to be up to 10%, there being no record at the national level.

Objective:

to describe the incidence of complications and morbimortality of elective LC in a non-selected population group in a university hospital.

Method:

retrospective observational study of patients who underwent elective LC between January 1, 2010 and December 31, 2019 in the Surgical Clinic B at the Clinicas Hospital and the surgery assistance Teaching Unit at Español Hospital.

The following variables were included: demographics, surgical diagnosis, conversion, morbimortality, reoperations and readmissions.

Results:

1.499 CL were found, average age was 49 years old (15-87), 79% were women, main bile duct lithiasis in 210 cases (17%), 25 conversions (1.7%). There were 64 complications (4.3%), the incidence being significantly higher in patients with main bile duct lithiasis (2.8% vs 7.6%, p 0,01). Two bile duct-hepatic lesions (Hannover type D and C), both detected and repaired in the same surgery, and three visceral lesions (0.20 %).

There were 16 readmissions (1.07%) and 9 reoperations (0.6%). Two patients died (0.13%) in the postoperative: decompensated chronic liver failure and post Endoscopic retrograde cholangiopancreatography (ERCP) severe pancreatitis.

Conclusions:

CL in a non-selected population at the university service analysed in the study proved to be a safe procedure, and complications, reoperation and readmission rates found in the study are positively compared to those reported in literature. The presence of lithiasis in the bile duct was associated with postoperative complications and a greater severity.

Palabras clave : Laparoscopic cholecystectomy; Postoperative complications; Morbidity and mortality.

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