Epidemiología de las enfermedades biliares y su manejo laparoscópico en un hospital básico.
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| Title: | Epidemiología de las enfermedades biliares y su manejo laparoscópico en un hospital básico. |
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| Alternate Title: | Epidemiology of biliary diseases and their laparoscopic management in a basic hospital. Epidemiologia das doenças biliares e seu tratamento laparoscópico em um hospital básico. |
| Authors: | SABORIT, MAITÉ GONZÁLEZ1 gonzalezsaboritm@gmail.com, MIELES ZAMBRANO, KAREN MANUELLA2, ROCA HERNÁNDEZ, LAURA ELIZA3 |
| Source: | Archivos de Medicina (1657-320X). jul-dic2025, Vol. 25 Issue 2, p1-18. 18p. |
| Subjects: | CHOLECYSTECTOMY, GALLSTONES, RURAL hospitals, TREATMENT effectiveness, SURGICAL complications, BILIOUS diseases & biliousness, LENGTH of stay in hospitals, OPERATIVE surgery |
| Abstract (English): | Laparoscopic cholecystectomy has become the standard treatment for symptomatic gallstone disease due to its lower morbidity, faster recovery, and reduced hospital stay. However, its success may be influenced by institutional factors and appropriate surgical planning. This study aimed to describe the outcomes of laparoscopic management of biliary pathologies in a basic-level hospital. Method: A descriptive, observational, and cross-sectional study was conducted on 413 patients who underwent laparoscopic cholecystectomy. Patients with symptomatic gallstones and acute-on-chronic cholecystitis were included. Those with a history of major abdominal surgeries, severe coagulopathies, or malignant biliary pathology were excluded. Clinical and surgical variables were analyzed, including age, sex, type of surgery, procedure duration, hospital stay, conversions, and postoperative complications. Results: The majority of patients were women (73.4%) with a mean age of 42 ± 12 years. 91% were diagnosed with uncomplicated gallstone disease. Elective surgeries accounted for 94.7%, with operative times ranging from 61 to 90 minutes in 48.4% of cases. The most frequent hospital stay was 1 to 3 days (82.3%). The conversion rate to open surgery was 2.7%, and postoperative complications occurred in 4.4%, predominantly in emergency procedures. Conclusions: Evidence shows that laparoscopic cholecystectomy performed in basic-level hospitals presents a low incidence of complications, provided that proper patient selection and adequate surgical planning are ensured. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Antecedente; la colecistectomía laparoscópica se ha posicionado como el tratamiento estándar para la litiasis vesicular sintomática debido a su menor morbilidad, rápida recuperación y estancia hospitalaria reducida. Sin embargo, su éxito puede verse influenciado por factores institucionales y una adecuada planificación quirúrgica. Este estudio tuvo como objetivo describir los resultados del manejo laparoscópico de patologías biliares en un hospital de nivel básico. Método; se realizó un estudio descriptivo, observacional y transversal en 413 pacientes intervenidos mediante colecistectomía laparoscópica. Se incluyeron pacientes con litiasis vesicular sintomática y colecistitis crónica reagudizada; se excluyeron aquellos con antecedentes quirúrgicos abdominales mayores, coagulopatías severas o patología biliar maligna. Se analizaron variables clínicas y quirúrgicas como edad, sexo, tipo de cirugía, duración del procedimiento, estancia hospitalaria, conversiones y complicaciones posoperatorias. Resultados: la mayoría de los pacientes fueron mujeres (73.4 %) con edad media de 42 ± 12 años. El 91 % fue diagnosticado con litiasis vesicular sin complicaciones. Las cirugías electivas representaron el 94.7 %, con tiempos quirúrgicos entre 61 y 90 minutos en el 48.4 % de los casos. La estancia hospitalaria más frecuente fue de 1 a 3 días (82.3 %). La conversión a cirugía abierta fue del 2.7 % y las complicaciones posoperatorias ocurrieron en el 4.4 %, con predominio de los procedimientos de emergencia. Conclusiones: la evidencia muestra que la colecistectomía laparoscópica realizada en hospitales básicos presenta una baja incidencia de complicaciones, siempre que se realice con una selección adecuada de pacientes y una correcta planificación quirúrgica. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Antecedentes: a colecistectomia laparoscópica posicionou-se como o tratamento padrão para a litíase vesicular sintomática devido à sua menor morbidade, rápida recuperação e redução do tempo de internação hospitalar. No entanto, seu sucesso pode ser influenciado por fatores institucionais e um planejamento cirúrgico adequado. Este estudo teve como objetivo descrever os resultados do tratamento laparoscópico de patologias biliares em um hospital de nível básico. Método: foi realizado um estudo descritivo, observacional e transversal em 413 pacientes submetidos a colecistectomia laparoscópica. Foram incluídos pacientes com litíase vesicular sintomática e colecistite crônica aguda; foram excluídos aqueles com histórico de cirurgias abdominais de grande porte, coagulopatias graves ou patologia biliar maligna. Foram analisadas variáveis clínicas e cirúrgicas como idade, sexo, tipo de cirurgia, duração do procedimento, internação hospitalar, conversões e complicações pós-operatórias. Resultados: a maioria dos pacientes era do sexo feminino (73,4%), com idade média de 42 ± 12 anos. 91% foram diagnosticados com litíase vesicular sem complicações. As cirurgias eletivas representaram 94,7%, com tempos cirúrgicos entre 61 e 90 minutos em 48,4% dos casos. A internação hospitalar mais frequente foi de 1 a 3 dias (82,3%). A conversão para cirurgia aberta foi de 2,7% e as complicações pós-operatórias ocorreram em 4,4%, com predominância de procedimentos de emergência. Conclusões: as evidências mostram que a colecistectomia laparoscópica realizada em hospitais básicos apre-senta baixa incidência de complicações, desde que seja realizada com uma seleção adequada de pacientes e um planejamento cirúrgico correto. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Laparoscopic cholecystectomy has become the standard treatment for symptomatic gallstone disease due to its lower morbidity, faster recovery, and reduced hospital stay. However, its success may be influenced by institutional factors and appropriate surgical planning. This study aimed to describe the outcomes of laparoscopic management of biliary pathologies in a basic-level hospital. Method: A descriptive, observational, and cross-sectional study was conducted on 413 patients who underwent laparoscopic cholecystectomy. Patients with symptomatic gallstones and acute-on-chronic cholecystitis were included. Those with a history of major abdominal surgeries, severe coagulopathies, or malignant biliary pathology were excluded. Clinical and surgical variables were analyzed, including age, sex, type of surgery, procedure duration, hospital stay, conversions, and postoperative complications. Results: The majority of patients were women (73.4%) with a mean age of 42 ± 12 years. 91% were diagnosed with uncomplicated gallstone disease. Elective surgeries accounted for 94.7%, with operative times ranging from 61 to 90 minutes in 48.4% of cases. The most frequent hospital stay was 1 to 3 days (82.3%). The conversion rate to open surgery was 2.7%, and postoperative complications occurred in 4.4%, predominantly in emergency procedures. Conclusions: Evidence shows that laparoscopic cholecystectomy performed in basic-level hospitals presents a low incidence of complications, provided that proper patient selection and adequate surgical planning are ensured. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 1657320X |
| DOI: | 10.30554/archmed.25.2.5445.2025 |
