Resumen

ZUNIGA-VARGAS, Juan José  y  VARGAS-CARRANZA, Julia. Colecistectomía abierta versus laparoscópica: experiencia en el Hospital San Juan de Dios. Acta méd. costarric [online]. 2002, vol.44, n.3, pp.113-116. ISSN 0001-6002.

Justification: Today, laparoscopic surgery as a least invasive technique is widely used in the world. Laparoscopic cholecystectomy is a valuable and safe technique and is has been available to the general surgeon for the last 15 years. In Costa Rica it has become a pretty common procedure with great results but they have not been well studied and documented. This study aims to expose part of the work that takes place at the Hospital San Juan de Dios with laparoscopic cholecystectomy and highlights the results in contrast with those of traditional cholecystectomy. Methodology: Aretrospective study was conducted of all the cholecystectomies performed at the Hospital San Juan de Dios in Costa Rica from July 1996 to June 1999. A comparative analysis between the classic and the laparoscopic approach was completed considering post-operative evolution and postoperative complications. Results: A total of 3193 cholecystectomies, were reviewed, 476 were laparoscopic cholecystectomies, they had less post-operative complications and less post-operative recovery time as opposed to the open cholecystectomies. The study showed further a progressive diminution of the operative time in the laparoscopic group. Conclusions : Laparoscopic cholecystectomy is a safe procedure and it carries several advantages both for thepatient and the surgeon.

Palabras clave : colecistectomía abierta; colecistectomía laparoscópica; abordaje quirúrgico; colelitiasis; colédoco litiasis; contraindicaciones; complicaciones; tiempo quirúrgico pre y pos-operatorio; síndrome Mirizzi.