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Revista Médica La Paz
On-line version ISSN 1726-8958
Abstract
AGUILA GOMEZ, Mauricio Vicente and USTAREZ MARTINEZ, Rosalim Carola. LAPAROSCOPIC CHOLECYSTECTOMY AT LOS PINOS MUNICIPAL HOSPITAL 2012 - 2022. Rev. Méd. La Paz [online]. 2023, vol.29, n.1, pp.27-32. Epub June 30, 2023. ISSN 1726-8958.
Laparoscopic cholecystectomy is the Gold standard for the treatment of vesicular lithiasis. The present study aims to describe the experience in laparoscopic cholecystectomy of 10 years at Los Pinos Municipal Hospital in La Paz, Bolivia. A review of medical records of hospitalized patients undergoing laparoscopic cholecystectomy from June 2012 to July 2022 was carried out. Case series were 1095 patients; 866 (79.3%) female and 229 (20.7%) male; the age group with higher casuistry was 31 to 40 years (256 cases, 23.3%), the average age was 50.5 (10 to 81 years). The admission of patients was by outpatient 72.5% and emergency unit 27.4%. The average surgery time was 85 min. (20 to 150 min.). The highest prevalence diagnosis at admission was chronic lithiasic cholecystitis (766 cases, 69.9%). The conversion factor to open surgery was the anatomical structures identification difficulty, conversion rate of 6.9 %. The postoperative hospital stay average was 3.5 days (1 to 6 days). Based on the results obtained, laparoscopic cholecystectomy still proves to be the safe and effective treatment in patients with cholelithiasis.
Keywords : Cholelithiasis; laparoscopic cholecystectomy; open cholecystectomy.