Estudio comparativo colecistectomía laparoscópica ambulatoria vs colecistectomía laparoscópica con hospitalización, similitudes y diferencias, estudio realizado en el Hospital de Especialidades Dr Teodoro Maldonado Carbo, de enero a diciembre de 2016

Abstract

Cholelithiasis is one of the most frequent reasons for consultation in general surgery services around the world. The increase in IESS’ affiliates has caused the congestion of the IESS´ hospitals, limiting the number of available beds, for this reason the implementation of ambulatory laparoscopic cholecystectomy is proposed as a strategy to solve cases of cholelithiasis undergoing elective surgery and in this way increasing the available beds in the hospitalization areas. Objectives: To determine which surgical procedure between ambulatory laparoscopic cholecystectomy and hospitalization laparoscopic cholecystectomy is related to less development of postoperative complications. Methodology: descriptive, observational, retrospective study, developed in the general surgery service of Hospital Teodoro Maldonado Carbo in 2016, establishing an association between the study variables. Results: The frequency of complications observed is 1.1% in ambulatory laparoscopic cholecystectomy and 2.5% in laparoscopic cholecystectomy with hospitalization. Conclusion: In this study, there is a lower frequency of complications in patients who underwent laparoscopic ambulatory cholecystectomy compared to laparoscopic cholecystectomy with hospitalization