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Revista Cubana de Medicina Militar
versión impresa ISSN 0138-6557versión On-line ISSN 1561-3046
Resumen
QUIROGA MERINO, Luis Ernesto et al. Epidemiological factors in the conversion of videolaparoscopic cholecystectomy. Rev Cub Med Mil [online]. 2020, vol.49, n.2, e515. Epub 01-Jun-2020. ISSN 0138-6557.
Introduction:
Videolaparoscopic cholecystectomy is the most suitable procedure to treat gallbladder lithiasis and its complications, but there are epidemiological factors that can promote conversion.
Objective:
To determine the epidemiological factors that influenced the conversion of videolaparoscopic cholecystectomy.
Methods:
A descriptive and retrospective study was carried out at the Hospital Militar "Octavio de la Concepción y de la Pedraja", from January 2010 to May 2019. 64 patients underwent elective or emergency surgery, who were converted with minimal access to conventional.
Results:
A greater number of conversions from emergency was evident, predominantly in men, with an age range between 41 and 55 years. In elective surgery, the female sex, from the same age group, stood out. Conversion was more common in overweight patients. Symptomatic gallbladder lithiasis (biliary colic) was the most commonly found condition as an antecedent. Diabetes mellitus was the chronic non-communicable disease most associated with conversion.
Conclusions:
Conversion was more frequent in the age group between 41 to 55 years, in male patients, overweight, associated with biliary colic and diabetes mellitus.
Palabras clave : cholecistectomy; laparoscopy; emergency surgery; elective surgery.