Resultados de la Colecistectomía Video-laparoscópica en pacientes con Colecistostomía Percutánea por Colecistitis Aguda Litiásica / 7 EVALUATION OF VIDEOLAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH PREVIOUS PERCUTANEOUS CHOLECYTOSTOMY FOLLOWING LITHIASIC ACUTE CHOLECYSTITIS

ABSTRACT

Cholecystitis is the inflammation of the gallbladder wall. The Tokio 2013 guidelines classify this pathology in light , moderate and severe, being the latest the most commonly associated with organic dysfunction. Although videolaparoscopic cholecystectomy (VLPC) is the gold standard for the management of a lithiasic biliary tract pathology, those patients with organic dysfunction are benefitiated with an urgent or earlier drainage of the gallbladder through a percutaneous approach. This is due because the risks for these patients are greater under general anesthesia. This temporization could allow an improvement of the comorbidities and then perform an elective cholecystectomy. The placement of a percutaneous cholecystectomy (PC) originates a process of adherencies that could make difficult the surgical act of the cholecystectomy, extending the operative time or increasing the risk for lesions on the biliary tract. The reports related to the results of VLPC in patients with PC are scarce. The aim of the present report was to present a revision of the authors´ experience with the videolaparoscopic cholecystectomy in patients with previous percutaneous cholecystectomy.