Factores de riesgo asociados a lesiones en la vía biliar: un estudio cohorte en el hospital Victor Lazarte Echegaray (2000-2023)
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Date
2024-11-06
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Universidad Nacional de Trujillo
Abstract
El estudio aborda los factores de riesgo asociados a las lesiones de la vía biliar, complicaciones graves que pueden surgir tras procedimientos quirúrgicos, traumatismos o enfermedades. Estas lesiones afectan el sistema biliar, crucial para la digestión y el metabolismo hepático, y su identificación temprana y manejo adecuado son esenciales para mejorar los resultados clínicos. Se llevará a cabo en el Hospital Víctor Lazarte Echegaray durante el período de 2000 a 2023, utilizando un diseño de cohorte retrospectivo para analizar 140 historias clínicas de pacientes sometidos a colecistectomía. De estas, se seleccionarán 35 casos con lesiones y 105 controles para identificar los factores predisponentes.
Se examinarán variables como el tipo de cirugía (laparoscópica o abierta), el síndrome de Mirizzi, la diabetes mellitus, y las alteraciones anatómicas de la vía biliar, entre otros. El análisis estadístico incluirá pruebas como la Chi Cuadrado para evaluar la asociación entre estos factores y la aparición de lesiones. El objetivo principal es identificar y comprender los elementos que predisponen a las lesiones de la vía biliar, con el fin de mejorar la detección temprana y el manejo clínico. Además, se pretende implementar medidas preventivas y mejorar la calidad de la atención al paciente. Los hallazgos contribuirán a una mejor comprensión de estas complicaciones y a la elaboración de estrategias para minimizar su incidencia, beneficiando tanto a los pacientes como a la comunidad médica y científica.
Abstract The study addresses the risk factors associated with bile duct injuries, serious complications that can arise after surgical procedures, trauma or disease. These injuries affect the biliary system, crucial for digestion and hepatic metabolism, and their early identification and adequate management are essential to improve clinical outcomes. It will be carried out at the Víctor Lazarte Echegaray Hospital during the period from 2000 to 2023, using a retrospective cohort design to analyze 140 clinical records of patients undergoing cholecystectomy. Of these, 35 cases with injuries and 105 controls will be selected to identify predisposing factors. Variables such as the type of surgery (laparoscopic or open), Mirizzi syndrome, diabetes mellitus, and anatomical alterations of the bile duct, among others, will be examined. The statistical analysis will include tests such as the Chi Square to evaluate the association between these factors and the appearance of injuries. The main objective is to identify and understand the elements that predispose to bile duct injuries, in order to improve early detection and clinical management. In addition, it is intended to implement preventive measures and improve the quality of patient care. The findings will contribute to a better understanding of these complications and to the development of strategies to minimize their incidence, benefiting both patients and the medical and scientific community.
Abstract The study addresses the risk factors associated with bile duct injuries, serious complications that can arise after surgical procedures, trauma or disease. These injuries affect the biliary system, crucial for digestion and hepatic metabolism, and their early identification and adequate management are essential to improve clinical outcomes. It will be carried out at the Víctor Lazarte Echegaray Hospital during the period from 2000 to 2023, using a retrospective cohort design to analyze 140 clinical records of patients undergoing cholecystectomy. Of these, 35 cases with injuries and 105 controls will be selected to identify predisposing factors. Variables such as the type of surgery (laparoscopic or open), Mirizzi syndrome, diabetes mellitus, and anatomical alterations of the bile duct, among others, will be examined. The statistical analysis will include tests such as the Chi Square to evaluate the association between these factors and the appearance of injuries. The main objective is to identify and understand the elements that predispose to bile duct injuries, in order to improve early detection and clinical management. In addition, it is intended to implement preventive measures and improve the quality of patient care. The findings will contribute to a better understanding of these complications and to the development of strategies to minimize their incidence, benefiting both patients and the medical and scientific community.
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Keywords
Colecistectomía Laparoscópica, Vías Biliares, Factor de Riesgo