Colecistectomía laparoscópica durante el embarazo, experiencia de un Hospital Universitario del noreste de México
Laparoscopic cholecystectomy during pregnancy, experience from a University Hospital in northeast Mexico
| dc.contributor | Hospital Universitario "José Eleuterio González" Universidad Autónoma de Nuevo León | es-ES |
| dc.contributor | en-US | |
| dc.creator | Guerra Leza, Karla Carolina | |
| dc.creator | Narro Martínez, Marcela Anahí | |
| dc.creator | Ponce Escobedo, Aurora Natalia | |
| dc.creator | Fernández Treviño, José Rafael | |
| dc.date | 2021-09-10 | |
| dc.date.accessioned | 2021-10-04T14:55:37Z | |
| dc.date.available | 2021-10-04T14:55:37Z | |
| dc.identifier | https://www.revistacirugia.cl/index.php/revistacirugia/article/view/963 | |
| dc.identifier | 10.35687/s2452-45492021005963 | |
| dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/176703 | |
| dc.description | Objetivo: Reportar nuestra experiencia en el manejo laparoscópico de la colecistolitiasis durante el embarazo.Material y métodos: Estudio retrospectivo, observacional. Se incluyeron pacientes embarazadas, con diagnóstico de patología biliar sometidas a colecistectomía laparoscópica. Se describieron variables sociodemográficas, obstétricas, complicaciones o muerte postoperatoria.Resultados: Se realizaron 46 colecistectomías laparoscópicas, edad media de 25 años; 82.6% cursaban el segundo trimestre de embarazo; mostrando tasa de complicaciones de 4.3% directamente relacionadas con el procedimiento sin mortalidad materna.Discusión: Se asocia a la cirugía biliar a una tasa elevada de complicaciones durante el embarazo, sin embargo, existe mayor evidencia que apoya la idea de la intervención temprana en enfermedad biliar sintomática, con un mayor riesgo de muerte fetal bajo manejo conservador que bajo un abordaje quirurgico,así como mayor tasa de recurrencia. Se ha demostrado que la cirugía no aumenta el riesgo de mortalidad para la madre y el feto y su retraso puede resultar en un incremento de morbilidad a corto y largo plazo.Conclusiones: Observamos una baja tasa de complicaciones asociadas al procedimiento quirúrgico, así como una nula mortalidad materna. | es-ES |
| dc.description | Aim: To evaluate the safety of laparoscopic cholecystectomy during pregnancy, reporting complications and obstetric and perinatal outcomes in our institution.Materials and Method: Retrospective, observational study. Pregnant patients with a diagnosis of biliary pathology undergoing laparoscopic cholecystectomy were included. Sociodemographic, obstetric variables, complications or postoperative death were described.Results: 46 laparoscopic cholecystectomies were performed, mean age 25 years; 82.6% were in the second trimester of pregnancy; showing a complication rate of 4.4% directly related to the procedure with zero maternal mortality.Discussion: Biliary surgery is associated with a high rate of complications during pregnancy, however, there is more evidence supporting the idea of early intervention in symptomatic biliary disease, with a higher risk of fetal death under conservative management than under a laparoscopic approach, 14 as well as a higher recurrence ratecd. Surgery has been shown not to increase the risk of mortality for the mother and the fetus and its delay may result in an increase in morbidity in the short and long term.Conclusion: We observed a low rate of complications associated with the surgical procedure, as well as no maternal mortality. | en-US |
| dc.format | application/pdf | |
| dc.language | spa | |
| dc.publisher | Sociedad Chilena de Cirugía | es-ES |
| dc.relation | https://www.revistacirugia.cl/index.php/revistacirugia/article/view/963/525 | |
| dc.relation | https://www.revistacirugia.cl/index.php/revistacirugia/article/downloadSuppFile/963/1535 | |
| dc.rights | Copyright (c) 2021 Karla Carolina Guerra Leza, Marcela Anahí Narro Martínez, Aurora Natalia Ponce Escobedo, José Rafael Fernández Treviño | es-ES |
| dc.rights | https://creativecommons.org/licenses/by-sa/4.0 | es-ES |
| dc.source | Revista de Cirugia; Vol. 73, Núm. 5 (2021) | en-US |
| dc.source | Revista de Cirugía; Vol. 73, Núm. 5 (2021) | es-ES |
| dc.source | 2452-4549 | |
| dc.source | 2452-4557 | |
| dc.subject | colecistitis; colecistectomía; cálculos biliares; embarazo. | es-ES |
| dc.subject | cholecystitis; cholecystectomy; gallstones; pregnancy | en-US |
| dc.title | Colecistectomía laparoscópica durante el embarazo, experiencia de un Hospital Universitario del noreste de México | es-ES |
| dc.title | Laparoscopic cholecystectomy during pregnancy, experience from a University Hospital in northeast Mexico | en-US |
| dc.type | info:eu-repo/semantics/article | |
| dc.type | info:eu-repo/semantics/publishedVersion | |
| dc.type | es-ES | |
| dc.type | Casos Clínicos; Serie de Casos | es-ES |
| dc.type | en-US | |
| dc.type | en-US |
This item appears in the following Collection(s)
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Revista de Cirugía
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