Correlación entre hallazgos ecográficos y transoperatorio en cirugía de vesícula biliar en el Hospital General Puyo durante el periodo enero – diciembre 2017

Abstract

The objective of present degree work was to compare sonographic and trans-operative findings in gallbladder surgery. To determine the sensitivity and specificity of the sonographic findings in relation to the surgical findings. The present is an observational retrospective cross-sectional study. It proceeded to review all the patients’ medical records underwent surgery for gallbladder pathologies they presented ultrasound as diagnostic means in Puyo General Hospital from January to December 2017. In addition, prognostic scale applied that fulfill echographic criteria to obtain a score that varies between> 5 and <5There are a total of 120 patients surgically treated for cholelithiasis and acute cholecystitis in Puyo General Hospital during the 2017 year. In the study found that 120 patients intervened in (79.17%) are female and only 25 in (20.83%) are male sex with a presentation ratio of 3.8 / 1. The 85% of ultrasounds related to the findings during surgery determined furthermore, the correlation of prognostic scale in relation to the prediction of surgical that the development was not the predicted is 71% (specificity). The echography studies available in Puyo General Hospital does not reach the standards of sensitivity and specificity for the diagnosis of vesicular pathology, for this reason, they do not fulfill the role of predictors for the surgery development. A study to evaluate the standardization of gallbladder ultrasound exams should implement, since being Standard Gold for gallbladder diagnosis this study is necessary so that the surgeon has an idea of the type of surgery he will face.