Abstract

ZAMORA SANTANA, Orlando et al. Achievements and challenges of the laparoscopic cholecystectomy in Cuba. Rev Cubana Cir [online]. 2011, vol.50, n.4, pp. 509-516. ISSN 0034-7493.

Objective: to know the results from the standardization of the laparoscopic cholecystectomy in Cuba. Methods: a descriptive and retrospective study was conducted be means of a survey completed by 16 groups of minimal access surgery from university hospital in 9 provinces of our country to define the character, conversions, behavior in face of biliary tract lithiasis, perioperative morbidity and mortality. Results: it was possible to obtain data related to 56 878 surgical interventions performed from the onset of activity in these centers up to November, 2007 defining the character, conversions, behavior in face of a biliary tract lithiasis and perioperative morbidity and mortality. The laparoscopic approach was used in the 80.7 % of cases, elective in the 97.1 %, with conversion rates of 1.4 %, morbidity of 0.58 % and mortality of 0.10 %. There was predominance of conversion and exploration of conventional for in face of the choledochal lithiasis finding. Conclusions: results of standardization of laparoscopic cholecystectomy in Cuba are excellent, but it is necessary to extend its use as a tool in the treatment of the biliary lithiasis complications.

Keywords : laparoscopic cholecystectomy; conversion rates; complications; choledochal lithiasis.

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