Estadísticas

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      "titulo" => "Complicaciones de la colecistectomía laparoscópica. Experiencia en 910 pacientes"
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        "resumen" => "<span class="elsevierStyleBold">Introducci&#243;n&#46;</span> Con el advenimiento de la cirug&#237;a laparosc&#243;pica se ha ido abandonando la colecistectom&#237;a abierta&#44; sin que se hayan realizado suficientes trabajos prospectivos y aleatorios para comparar ambas t&#233;cnicas&#46; <span class="elsevierStyleBold"><span class="elsevierStyleBold">Pacientes y M&#233;todos&#46;</span></span> El presente trabajo es un estudio prospectivo y aleatorio&#44; realizado sobre 150 pacientes&#58; 75 fueron intervenidos mediante una minilaparotom&#237;a y los otros 75 fueron sometidos a una colecistectom&#237;a laparosc&#243;pica&#46; <br/>Se establecen unos criterios de inclusi&#243;n y exclusi&#243;n y se obtienen dos grupos homog&#233;neos de pacientes&#44; a los que se estudia con el mismo protocolo&#44; analizando las incidencias operatorias&#44; cuidados postoperatorios&#44; morbimortalidad&#44; costes y seguimiento a distancia&#46; <br/> <span class="elsevierStyleBold">Resultados&#46;</span> Los resultados cl&#237;nicos&#44; est&#233;ticos o los costes no se decantan hacia ninguna de las t&#233;cnicas estudiadas&#44; pero la exposici&#243;n es mejor con la laparosc&#243;pica&#46; <br/> <span class="elsevierStyleBold">Conclusiones&#46;</span> La cirug&#237;a laparosc&#243;pica debe ser la t&#233;cnica de elecci&#243;n&#44; reservando la minilaparotom&#237;a para los casos de conversi&#243;n y en principio para aquella patolog&#237;a que el cirujano considera que no se debe resolver por esta v&#237;a&#46;"
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        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> With the introduction of laparoscopic surgery&#44; growing numbers of surgeons have abandoned open cholecystectomy&#44; despite the lack of sufficient prospective&#44; randomized studies comparing the two techniques&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> The present report deals with a prospective&#44; randomized study of 150 patients&#44; 75 of whom underwent minilaparotomy and the remaining 75&#44; laparoscopic cholecystectomy&#46; Inclusion and exclusion criteria were established&#44; resulting in two homogeneous groups of patients that were studied according to the same protocol&#46; The intraoperative events&#44; postoperative care&#44; morbidity&#44; mortality&#44; costs and long-term follow-up were analyzed&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> Neither the clinical results&#44; cosmetic results nor costs indicated greater benefits with one technique or the other&#46; However&#44; laparoscopy enabled a more thorough exploration of the abdominal cavity&#46; <br/>Conclusion&#46; Laparoscopic surgery should be the technique of choice&#44; reserving minilaparotomy for cases in which conversion to open surgery is necessary and for those procedures that the surgeon feels unprepared to perform by laparoscopic surgery&#46;"
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