Score preoperatorio para la predicción de colecistectomía difícil

Abstract

Introduction: Cholecystectomy is one of the most frequent surgical interventions in daily medical practice, it is not without complications, especially in some patients with greater predisposition.. Objective: Design a preoperative score for the prediction of difficult  cholecystectomy in the emergency and medical consultation area of the General  Surgery service of the Eastern General Hospital "Dr. Domingo Luciani". Methods: A descriptive study, longitudinal design. Performed in the period August 2018-August  2019. It had a sample of 99 patients who were given a preoperative predictive score  requiring data on the physical examination, personal and surgical history, associated  diseases, laboratory test and findings in abdominal ultrasound, upon signature of the  informed consent was proceeded to evaluate and make revision of the paraclinical of  each patient, and then be reported in the score. Results: An average sample age of 48.25 years ± 1.58, with a median  age of 47 years, the female  sex was the most common (60.61%=60 cases), in those patients classified with  difficult cholecystectomy, according to the experimental predictive score, predominated those with the presence of palpable vesicle and history of cholecystitis,  the most important laboratory finding was leukocytosis (greater or equal to 15x10⁶). Conclusion: The  use of the predicted score allows to precise the risk of complication in a difficult  cholecystectomy using the clinical and paraclinical characteristics of the patient at the  time of their preoperative evaluation.