Abstract

GARCIA CHAVEZ, Jesús  and  RAMIREZ AMEZCUA, Francisco Javier. Laparoscopic versus open emergency cholecystectomy. Cir. gen [online]. 2012, vol.34, n.3, pp.174-178. ISSN 1405-0099.

Objective: To compare laparoscopic cholecystectomy versus open cholecystectomy for acute vesicular pathology. Setting: General Hospital ''Dr. Darío Fernández Fierro'', ISSSTE, Mexico City. Design: Retrospective, comparative, cross-sectional observational study. Statistical analysis: Student's t test and χ². Patients and methods: The study included two groups of patients with vesicular pathology confirmed through ultrasound, who required emergency surgical management in the period from January to December 2011. One group of 60 patients was subjected to open cholecystectomy and the second group of 52 patients was subjected to laparoscopic cholecystectomy. The assessed variables were: gender, age, surgical time, transoperative complications, in-hospital stay, postoperative pain, and aesthetic satisfaction. Results: Age, gender, preoperative diagnosis did not show any statistically significant difference; only four variables presented statistical significance, these were average surgical time (p = 0.0016), pain perceived during the first 24 hours after surgery (p = 0.0048), time of postsurgical in-hospital stay (p = 0.0038), and aesthetic perception (p = 0.00004). Conclusions: Results indicate that laparoscopic cholecystectomy excels open cholecystectomy for the management of acute vesicular pathology because it presents less postsurgical pain and an aesthetic result that is better accepted and preferred by the patients.

Keywords : Cholecystitis; cholecystectomy; emergency; laparoscopy.

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