<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2018000600931</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Repercusión de la colecistectomía laparoscópica en el paciente geriátrico]]></article-title>
<article-title xml:lang="en"><![CDATA[Repercussion of laparoscopic cholecistectomy on elderly patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amores Agulla]]></surname>
<given-names><![CDATA[Tania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marrero Quesada]]></surname>
<given-names><![CDATA[José Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Somoza]]></surname>
<given-names><![CDATA[Jennys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Ciencias Médicas &#8220;Julio Trigo&#8221; Hospital Clínico Quirúrgico &#8220;Julio Trigo López&#8221;]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>17</volume>
<numero>6</numero>
<fpage>931</fpage>
<lpage>942</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2018000600931&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2018000600931&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2018000600931&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Cada día resulta mayor la proporción de ancianos que asiste a los quirófanos. El manejo de estos pacientes ha ido evolucionando aparejadamente a las técnicas mínimamente invasivas, encaminadas a evitar la hospitalización, las complejas pruebas complementarias y los costosos tratamientos.  Objetivo:  Determinar los factores que repercuten en la hemodinamia del paciente geriátrico durante la colecistectomía laparoscópica.  Material y Métodos: Se realizó un estudio prospectivo, longitudinal y analítico de 132 pacientes mayores de 60 años intervenidos por colecistectomía laparoscópica electiva, en el Hospital clínico-quirúrgico &#8220;Julio Trigo López&#8221; durante el período comprendido desde enero de 2014 hasta junio de 2016.  Resultados: Predominó el grupo correspondiente a los 60 - 69 años de edad, el sexo femenino y el estado físico ASA II. El 75% de los pacientes no sufrió cambios hemodinámicos. Se presentó un 25% de variabilidades hemodinámicas predominantes en el grupo de 70-79 años de edad. La diferencia en la variabilidad hemodinámica entre los grupos etarios resultó altamente significativa. La hipertensión arterial (51,5%) y la taquicardia (27,3%) fueron las variaciones más frecuentes. Los factores determinantes en los cambios fueron dependientes del proceder quirúrgico: mayor presión intrabdominal posneumoperitoneo (22%) y Trendelenburg superior a 10 grados (93,9%).  Conclusiones: Los factores determinantes en la hemodinamia fueron dependientes del acto quirúrgico. Se presentaron variaciones significativas entre los diferentes grupos etarios, sugiriendo cierta influencia del factor edad, pero la mayor longevidad no constituyó un aspecto decisivo. La colecistectomía laparoscópica es una valiosa alternativa terapéutica para los pacientes ancianos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The number of elderly patients undergoing surgery is greater every day. The management of these patients has been evolving together with minimal invasive techniques, aimed at avoiding hospitalization, complex complementary tests, and expensive treatments.  Objective:  To determine the factors that have an effect on the hemodynamics of the geriatric patient during laparoscopic cholecystectomy.  Material and Methods: A prospective, longitudinal, and analytic study was conducted in 132 patients older than 60 years of age who underwent elective laparoscopic cholecystectomy at the &#8220;Julio Trigo López&#8221; Clinical and Surgical Hospital during the period between January 2014 to June 2016.  Results:  Subjects aged 60 to 69 years, the female sex, and the physical state ASA II predominated in the study. 75% of these patients did not suffer hemodynamic changes. 25% of predominant hemodynamic variabilities were present especially in the group aged 70 to 79 years. The difference in hemodynamic variability between the age groups was highly significant. Arterial hypertension (51,5%) and tachycardia (27,3%) were the most frequent variations. The determining factors in the changes were dependent on the surgical procedure: higher intra-abdominal pressure after pneumoperitoneum (22%) and Trendelenburg higher than 10 degrees (93.9%).  Conclusions:  The determining factors in hemodynamics were dependent on the surgical act. There were significant variations among the different age groups, suggesting a certain influence of the age factor, but the greatest longevity didn't constitute a decisive aspect. Laparoscopic cholecystectomy is a valuable therapeutic alternative for elderly patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[hemodinamia]]></kwd>
<kwd lng="es"><![CDATA[neumoperitoneo]]></kwd>
<kwd lng="es"><![CDATA[anciano]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic]]></kwd>
<kwd lng="en"><![CDATA[hemodynamics]]></kwd>
<kwd lng="en"><![CDATA[pneumoperitoneum]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
</kwd-group>
</article-meta>
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<year>2011</year>
<volume>10</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>230-41</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tenorio]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Lelly]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Variabilidad hemodinámica durante la colecistectomía laparoscópica]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Lima, Perú ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Nacional mayor de San Marcos, Escuela de Posgrado Facultad de Medicina Unidad de Posgrado]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
