Examinando por Autor "Ramírez Escobar, Brigitte Thalia"

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  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of early laparoscopic cholecystectomy vs late laparoscopic cholecystectomy in patients with acute cholecystitis
    (Universidad Privada Norbert Wiener, 2017-12-03) Ramírez Escobar, Brigitte Thalia; Saavedra Carranza, Delcy Tanith; Pretell Aguilar, Rosa Maria
    Objective: To systematize the available evidence from studies on the effectiveness of early laparoscopic cholecystectomy vs late laparoscopic cholecystectomy in patients with acute cholecystitis. Materials and Methods: A systematic bibliographic search was conducted for 10 scientific articles found in the following databases: Cochrane Library, PubMed, Epistemonikos, Intramed, Elsevier, and Google Scholar. The research designs of the 10 identified studies included 60% (6/10) meta-analyses, 30% (3/10) randomized clinical trials, and 10% (1/10) systematic reviews. Results: 80% (n=8/10) of the reviewed articles show that early laparoscopic cholecystectomy is more effective than late laparoscopic cholecystectomy in patients with acute cholecystitis. On the other hand, 20% (n=2/10) of the articles reported no significant differences between the two procedures, but still recommended early intervention, as it would lead to better outcomes benefiting both the patient and the healthcare institution providing the service. Conclusion: Of the 10 articles reviewed, evidence shows that early laparoscopic cholecystectomy is more effective than late cholecystectomy, decreasing the risk of conversion to open surgery, reducing the duration of postoperative antibiotic therapy, decreasing the frequency of intraoperative drainage placement, and being more cost-effective for hospital management. Regarding patient perception, there is greater satisfaction and fewer lost workdays.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of early laparoscopic cholecystectomy vs late laparoscopic cholecystectomy in patients with acute cholecystitis
    (Universidad Privada Norbert Wiener, 2017-12-03) Ramírez Escobar, Brigitte Thalia; Saavedra Carranza, Delcy Tanith; Pretell Aguilar, Rosa Maria
    Objective: To systematize the available evidence from studies on the effectiveness of early laparoscopic cholecystectomy vs late laparoscopic cholecystectomy in patients with acute cholecystitis. Materials and Methods: A systematic bibliographic search was conducted for 10 scientific articles found in the following databases: Cochrane Library, PubMed, Epistemonikos, Intramed, Elsevier, and Google Scholar. The research designs of the 10 identified studies included 60% (6/10) meta-analyses, 30% (3/10) randomized clinical trials, and 10% (1/10) systematic reviews. Results: 80% (n=8/10) of the reviewed articles show that early laparoscopic cholecystectomy is more effective than late laparoscopic cholecystectomy in patients with acute cholecystitis. On the other hand, 20% (n=2/10) of the articles reported no significant differences between the two procedures, but still recommended early intervention, as it would lead to better outcomes benefiting both the patient and the healthcare institution providing the service. Conclusion: Of the 10 articles reviewed, evidence shows that early laparoscopic cholecystectomy is more effective than late cholecystectomy, decreasing the risk of conversion to open surgery, reducing the duration of postoperative antibiotic therapy, decreasing the frequency of intraoperative drainage placement, and being more cost-effective for hospital management. Regarding patient perception, there is greater satisfaction and fewer lost workdays.