Estadísticas

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    "titulo" => "Complicaciones biliares en colecistectomía laparoscópica: ¿se deben sólo a la curva de aprendizaje?"
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        "resumen" => "<span class="elsevierStyleBold">Objetivo&#46;</span> Conocer la incidencia y evoluci&#243;n de las complicaciones biliares en colecistectom&#237;a laparosc&#243;pica en nuestro medio&#46; <br/> <span class="elsevierStyleBold">Material y m&#233;todos&#46;</span> Estudio prospectivo y an&#243;nimo sobre 1&#46;168 colecistectom&#237;as laparosc&#243;picas practicadas durante 1996 en 15 hospitales comarcales de Catalu&#241;a&#44; compar&#225;ndolas con los resultados obtenidos por el mismo grupo en 1993&#46; <br/> <span class="elsevierStyleBold">Resultados&#46;</span> Objetivamos una disminuci&#243;n global de las complicaciones biliares&#44; que representan el 14&#44;9&#37; del total de complicaciones de la serie&#44; mientras en 1993 eran del 19&#44;7&#37;&#46; <br/>Este descenso se debe&#44; b&#225;sicamente&#44; a la reducci&#243;n del n&#250;mero de bilirragias postoperatorias&#44; que en 1993 representaban el 50&#37; de las complicaciones biliares y actualmente el 36&#37; &#40;p &#61; NS&#41;&#46; <br/>La incidencia de pancreatitis aguda poscolecistectom&#237;a laparosc&#243;pica es inferior al 0&#44;3&#37; y la lesi&#243;n de la v&#237;a biliar se mantiene en un 0&#44;4&#37;&#46; <br/> <span class="elsevierStyleBold">Conclusiones&#46;</span> Los resultados actuales sugieren una mejor&#237;a global al disminuir las complicaciones totales y&#44; en especial&#44; las biliares&#46; <br/>Sin embargo&#44; la lesi&#243;n de la v&#237;a biliar no presenta el descenso que cabr&#237;a esperar tras aumentar la experiencia laparosc&#243;pica del grupo y tiene un comportamiento multifactorial&#44; por lo que deben tenerse muy en cuenta los factores de riesgo anat&#243;mico y las peculiaridades del acceso laparosc&#243;pico"
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