Usefulness of the difficult cholecystectomy score according to laparoscopic conversion

Introduction: Biliary lithiasis (LB) is a very frequent problem in the daily consultation of a general surgeon, so currently, 10 to 15% of the adult population in the experienced countries has LB.Methodology: A descriptive, observational and cross-sectional study was carried out with patients someti...

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Autores principales: Carrizo, Santiago Pablo, Magris, Juan Martin, Da Rosa, José Luis, Garcias, Lucas Mariano, Gramatica, Luis
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/28903
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id I10-R10article-28903
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institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic cholecystectomy
laparoscopic cholecystectomy
acute cholecystitis
colecistectomia
colecistectomia laparoscopica
colecistitis aguda
colecistectomia
colecistectomia laparoscopica
colecistite aguda
spellingShingle cholecystectomy
laparoscopic cholecystectomy
acute cholecystitis
colecistectomia
colecistectomia laparoscopica
colecistitis aguda
colecistectomia
colecistectomia laparoscopica
colecistite aguda
Carrizo, Santiago Pablo
Magris, Juan Martin
Da Rosa, José Luis
Garcias, Lucas Mariano
Gramatica, Luis
Usefulness of the difficult cholecystectomy score according to laparoscopic conversion
topic_facet cholecystectomy
laparoscopic cholecystectomy
acute cholecystitis
colecistectomia
colecistectomia laparoscopica
colecistitis aguda
colecistectomia
colecistectomia laparoscopica
colecistite aguda
author Carrizo, Santiago Pablo
Magris, Juan Martin
Da Rosa, José Luis
Garcias, Lucas Mariano
Gramatica, Luis
author_facet Carrizo, Santiago Pablo
Magris, Juan Martin
Da Rosa, José Luis
Garcias, Lucas Mariano
Gramatica, Luis
author_sort Carrizo, Santiago Pablo
title Usefulness of the difficult cholecystectomy score according to laparoscopic conversion
title_short Usefulness of the difficult cholecystectomy score according to laparoscopic conversion
title_full Usefulness of the difficult cholecystectomy score according to laparoscopic conversion
title_fullStr Usefulness of the difficult cholecystectomy score according to laparoscopic conversion
title_full_unstemmed Usefulness of the difficult cholecystectomy score according to laparoscopic conversion
title_sort usefulness of the difficult cholecystectomy score according to laparoscopic conversion
description Introduction: Biliary lithiasis (LB) is a very frequent problem in the daily consultation of a general surgeon, so currently, 10 to 15% of the adult population in the experienced countries has LB.Methodology: A descriptive, observational and cross-sectional study was carried out with patients sometimes having a laparoscopic cholecystectomy in a period between January 1, 2018 and December 31, 2018. The main objective of this study is to determine the differences in the risk scoring means of difficult cholecystectomy according to the conversion to open surgery in patients diagnosed with symptomatic biliary lithiasis.Results: Through the registered data, it can be said that being a man, with a leukocyte count> 12,000 mm3, with a BMI> 30, the presence of choledocholithiasis and a greater gallbladder cut with 3 mm are factors that increase the risk of conversion to open surgery in this series of patients. It is feasible and safe to use this score to determine the patients with the highest risk of conversion since all the independent factors identified are not modifiable.Conclusion: In short, being a man, with a leukocyte count> 10,000 mm3, with a BMI> 30, the presence of choledocholithiasis and a gallbladder wall greater than 3 mm are factors that increase the risk of conversion to open surgery in a series of patients undergoing video laparoscopy. in a university hospital and it is feasible and safe to use this score to identify those patients with the highest risk of conversion.  
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2020
url https://revistas.unc.edu.ar/index.php/med/article/view/28903
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