Characterization of patients with acute surgical abdomen operated on by laparoscopic surgery
Keywords:
acute abdomen, laparoscopic surgery, postoperative complicationsAbstract
Introduction: The incorporation of laparoscopic surgery as a diagnostic and therapeutic alternative in emergency medicine revolutionized the treatment of the acute surgical abdomen, since it allowed diagnosis by direct vision of the intra-abdominal organs, avoiding in many cases unnecessary laparotomy and other advantages that allow a rapid reincorporation of the individual to society.
Objective: To characterize patients with acute surgical abdomen operated by laparoscopic surgery.
Methods: Descriptive, prospective, longitudinal study of 248 patients with acute abdomen operated on laparoscopically from January 2019 to February 2024. The mean, range and standard deviation of quantitative variables and absolute frequency distributions for qualitative variables were calculated. To determine the degree of relationship between the categorical variables, the Phi-square and Cramer's V were used.
Results: Female sex predominated (64.92%) and age between 18 and 29 years. The most frequent diagnosis was acute appendicitis (52.42%) and appendectomy was the most frequently performed surgical procedure. The mean surgical time was 34.79 minutes. Complications occurred in 11.69% of patients and only 3.63% required reoperation, which was performed laparoscopically. In most of the operated patients (46.37%) the hospital stay was one day.
Conclusions: A small percentage of patients required conversion to laparotomy; repeat surgeries were performed laparoscopically. Most patients remained hospitalized for less than two days.
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Copyright (c) 2025 Enia Ramón Musibay, René Santiago Borges Sandrino, César Armando Masó Sánchez, Yoservis López Linares, Nélida de la Caridad Carballo Jorge
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