COLECISTECTOMÍA TARDÍA POSTERIOR A PANCREATITIS AGUDA BILIAR LEVE MEDIANTE CRITERIOS ATLANTA 2012 EN EL HOSPITAL LUIS VERNAZA. PERIODO ENERO 2016 - ENERO 2018.

Abstract

The objective of this study was to determine the results of late cholecystectomy after mild biliary acute pancreatitis using Atlanta 2012 criteria Method: This is an epidemiological, observational, descriptive, cross-sectional, retrospective study of late cholecystectomy after acute biliary pancreatitis using criteria Atlanta 2012, in the General Surgery Service of the Luis Vernaza Hospital in the city of Guayaquil, from January 2016 to January 2018. Results: A total of 70 patients with mild acute biliary pancreatitis were treated during the study period. All the patients were operated on by laparoscopic technique after 48 hours of clinical evolution. The average age of the study was 45 years and the female sex predominated with 80%. The most prevalent intraoperative complications were conversion in 10% of the patients, caused by anatomy not accurate in 8.6% of cases and scleroatrophic vesicle in 1.4% of cases. The second complication in 2.86% was due to hemorrhage. The surgical time that prevailed was between 30-60 minutes and was not related to more hospital stay, unlike those patients where the surgical time exceeded 120 minutes, where everyone exceeded more than 10 days of hospitalization. The most frequent postoperative complications were infection on the surgical site with 15,71% of the cases, pneumonia en 4,29% and biliary fistula 2,86%, all of which were associated with longer hospital stay. Mortality was 0% independent of the association with some comorbidity. Conclusions: Late cholecystectomy in mild acute biliary pancreatitis can cause intraoperative or postoperative complications, but it remains safe with no mortality even with the association of comorbidities, however it is associated with longer hospital stay