Laparoscopic surgery in abdominal urgency. Nine-years experience

Abstract

Urgent abdominal diseases of surgical treatment are still being a non despicable part of the general surgeon work. Video laparoscopic surgery is an advantageous and efficacious method in treatment the surgical urgency to determine the behaviour of surgical laparoscopy in abdominal urgency. We carried out a transversal descriptive study in the urgency service of the Teaching Military Hospital Dr. Mario Muñoz Monroy. The universe was formed by 201 patients urgently operated by video laparoscopic surgery in the period from February 2000 to June 2009. The used variables were genre, age, pre-surgery diagnostic, surgical time, diseases conditioning surgical risk, antecedents of previous surgeries, more frequent complications, kind of surgery, conversion causes, hospital staying and patients´ status at discharge. The most affected sex was the female sex (67.5%), the average age was 41 years old, the most frequently presented entities were related with the bile duct (68 %), followed by acute appendicitis (19 %), and the average surgical time was 50.42 minutes. The main disease causing risk was Arterial Hypertension, 78 % of the patients did not have antecedents of abdominal surgery; there were complications related with the surgical act in 3 %, and post surgery complications in 6 %; the conversion rate was 2 %, 89 % of the patients had a hospital staying of less than 24 hours. General mortality was 0.5 %, with one deceased patient.