Abstract

QUIROGA MERINO, Luis Ernesto et al. Characterization of the converted patients of laparoscopic cholecystectomy of urgency. AMC [online]. 2017, vol.21, n.5, pp. 612-620. ISSN 1025-0255.

Background: the acute cholecystitis is one of the most frequent three entities in the peritoneal syndrome, which needs surgical treatment of urgency. The conversion of the technique of minimum access to the conventional mode occurs for multiple reasons. Objective: to characterize the converted patients of laparoscopic cholecystectomy of urgency to conventional mode in the general surgery service. Methods: a cross-sectional and descriptive study with the objective of characterizing the converted patients of laparoscopic cholecystectomy of urgency. The universe was composed of 31 converted patients of minimum access to conventional surgery of urgency for acute cholecystitis from January 2010 to January 2017. Results: in the patients with converted acute cholecystitis of surgery of minimum access to conventional mode masculine sex prevailed for 54. 8 % with an average age of 46. The 41to 55 age group, the patients with body mass index of 25 to 30 kg/m2 were the most converted with 58. The 35.4 % of conversion causes corresponded to the vesicular adherences and 16.12 % to suspicion of lesion of bile ducts. From the converted patients, 19 presented perivesicular inflammation and in 14 of them the level of the vesicular wall was between 4 and 6 centimeters. Conclusions: in the patients with acute cholecystitis that were converted from minimum access to conventional mode men prevailed with an average age of 46. Being overweight constitutes an important factor for the conversion of the method as well as presenting perivesicular inflammation associated to augmented walls of the vesicle mainly between 4 and 6 cm.

Keywords : CHOLECYSTITIS, ACUTE [surgery]; CHOLECYSTECTOMY, LAPAROSCOPIC; CONVERSION TO OPEN SURGERY; MIDDLE AGED; EPIDEMIOLOGY, DESCRIPTIVE.

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