Usefulness of the difficult cholecystectomy score according to laparoscopic conversion
DOI:
https://doi.org/10.31053/1853.0605.v77.n4.28903Keywords:
cholecystectomy, laparoscopic cholecystectomy, acute cholecystitisAbstract
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.
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