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Revista Colombiana de Cirugía

Print version ISSN 2011-7582

Abstract

SALINAS, Carolina et al. Laparoscopic cholecystectomy in subacute cholecystitis: retrospective analysis at a university hospital. rev. colomb. cir. [online]. 2018, vol.33, n.2, pp.154-161. ISSN 2011-7582.  http://dx.doi.org/10.30944/20117582.57.

Objective:

To report the clinical results of laparoscopic cholecystectomy in patients with subacute cholecystitis hospitalized at a high complexity level of care university hospital in Medellín, Colombia.

Methodology:

A retrospective descriptive study was carried out in adult patients diagnosed with subacute cholecystitis who underwent laparoscopic cholecystectomy between January and December 2014. Sociodemographic, clinical, procedural characteristics, intraoperative complications at 30 days, as well as the hospital stay, were evaluated.

Results:

A total of 184 patients met the inclusion criteria, with a mean age of 59 years, predominantly female (61%); open surgery conversion rate was 13%, intraoperative bleeding 13%, biliary fistula 2.7%, bile duct injury 0.5%, and global mortality 1.1%.

Conclusions:

Laparoscopic cholecystectomy is a safe procedure with a low rate of complications, even when performed in patients with more than 72 hours of symptom onset. It is essential that this procedure be performed by a group with high experience in laparoscopic surgery

Keywords : Gallbladder; cholecystitis; acute; cholelithiasis; infection; cholecystectomy, laparoscopic; intraoperative complications.

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