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Revista Colombiana de Cirugía

Print version ISSN 2011-7582On-line version ISSN 2619-6107

Abstract

ESCALANTE-ARBELAEZ, Daniela; BERNAL-GUTIERREZ, Marcela  and  BUITRAGO-GUTIERREZ, Giancarlo. Perioperative mortality and surgical volume of cholecystectomies in the contributory regime in Colombia. rev. colomb. cir. [online]. 2021, vol.36, n.1, pp.83-90.  Epub Apr 30, 2021. ISSN 2011-7582.  https://doi.org/10.30944/20117582.705.

Introduction.

Biliary pathology is a frequent cause of surgical intervention, but in Colombia there are no official data on mortality or surgical volume associated with this procedure. The objective of this study is to determine the volume of cholecystectomies and to describe the general perioperative mortality rate in six geographic regions during the period from 2012 to 2016.

Methods.

Retrospective cohort study that included patients older than 18 years and affiliated to the contributory health regimen who underwent cholecystectomy. The sufficiency database of the Capitation Payment Unit (UPC), the vital statistics database of the National Administrative Department of Statistics (DANE) and that of the Integrated Social Protection Information System (SISPRO) were used.

Results.

During the study period, 192,080 cholecystectomies were performed, corresponding to 206 cholecystectomies per 100,000 inhabitants. Higher surgical volume was found in people between 65 and 80 years old, in females and geographically in the city of Bogotá. The perioperative mortality found corresponded to 0.58%, being higher in elderly male patients, in those who underwent laparotomy and in patients operated on in the city of Bogotá.

Discussions.

According to the findings, these results can serve as the basis for subsequent studies that clearly show the official figures for surgical volume and mortality from cholecystectomy in Colombia.

Keywords : cholecystectomy; surgical volume; mortality rate; preoperatory; contributive regime.

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