<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032025000400339</article-id>
<article-id pub-id-type="doi">10.35366/120513</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Porcentaje de identificación de la visión crítica de seguridad en pacientes postoperados de colecistectomía laparoscópica dependiendo del grado de inflamación con la escala de Parkland]]></article-title>
<article-title xml:lang="en"><![CDATA[Percentage of identification of the critical view of safety in postoperative laparoscopic cholecystectomy patients depending on the degree of inflammation with the Parkland grading scale]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Contreras Ayllón]]></surname>
<given-names><![CDATA[Aldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>23</volume>
<numero>4</numero>
<fpage>339</fpage>
<lpage>343</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032025000400339&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032025000400339&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032025000400339&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La colelitiasis es una de las enfermedades más frecuentes, con una incidencia de 800,000 casos anuales y una prevalencia de 20% en hombres y 40% en mujeres en México. La colecistectomía laparoscópica sigue siendo de los procedimientos más realizados cada año y se conoce que presenta un mayor riesgo de lesión de la vía biliar comparándola con la colecistectomía abierta. Como prevención se introdujo el concepto de la visión crítica de seguridad (VCS). La escala de Parkland (PGS) permite clasificar la severidad de inflamación de la vesícula biliar de forma intraoperatoria.  Objetivo:  Conocer el porcentaje de identificación de la VCS según el grado de inflamación con la escala de Parkland.  Material y métodos:  Se realizó un estudio transversal, retrospectivo, que incluyó a 100 pacientes postoperados de colecistectomía laparoscópica. Se documentó la VCS y la PGS descritas en la nota postoperatoria del expediente clínico.  Resultados:  Se identificó la VCS en 88% de los casos, PGS grado 1 (93.9%), grado 2 (100%), grado 3 (86.7%), grado 4 (58.3%) y grado 5 (75%).  Conclusión:  A mayor grado en la PGS, menor fue la identificación de la VCS.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Cholelithiasis is one of the most frequent diseases, with an incidence of 800,000 cases annually and a prevalence of 20% in men and 40% in women in Mexico. Laparoscopic cholecystectomy continues to be one of the most performed procedures each year. An increased risk of bile duct injury has been described compared to open cholecystectomy. As prevention, the critical view of safety (VCS) concept was introduced. The Parkland grading scale (PGS) classifies the severity of gallbladder inflammation.  Objective:  To know the percentage of critical view of safety identification according to the Parkland degree of inflammation.  Material and methods:  A retrospective, cross-sectional study was carried out that included 100 postoperative laparoscopic cholecystectomy patients. The VCS and PGS described in the postoperative note of the clinical record after the surgical procedure were documented.  Results:  VCS was identified in 88% of cases, PGS grade 1 (93.9%), grade 2 (100%), grade 3 (86.7%), grade 4 (58.3%) and grade 5 (75%).  Conclusion:  It was seen that the higher the degree of PGS, the lower the identification of VCS.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colelitiasis]]></kwd>
<kwd lng="es"><![CDATA[colecistitis]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[Parkland]]></kwd>
<kwd lng="es"><![CDATA[visión crítica de seguridad]]></kwd>
<kwd lng="en"><![CDATA[cholelithiasis]]></kwd>
<kwd lng="en"><![CDATA[cholecystitis]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[Parkland]]></kwd>
<kwd lng="en"><![CDATA[critical view of safety]]></kwd>
</kwd-group>
</article-meta>
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