Publications by authors named "Paola Lora Cumplido"
Article Synopsis
- This study compares two surgical methods, Hartmann's procedure (HP) and resection with primary anastomosis (RPA), for treating acute left-sided colonic emergencies among 1215 patients from 204 centers globally.
- Results showed that while HP was the more common treatment (57.3%), RPA was favored for younger patients with fewer health issues and those needing surgery sooner.
- The study concluded that although HP is still widely used, RPA might be the better option, emphasizing the importance of patient characteristics and surgeon experience in determining treatment choice.
Article Synopsis
- The study investigates the safety of early laparoscopic cholecystectomy (ELC) for patients aged 85 and older with acute calculous cholecystitis (ACC) by comparing outcomes with younger patients from 2013 to 2018.
- Results show that the oldest-old group had a higher 90-day mortality and more complications before adjustments, indicating that they had more severe health issues.
- After using propensity score matching to balance groups, findings suggested that ELC is relatively safe for selected older patients, indicating that age alone shouldn't prevent surgery for ACC.
Article Synopsis
- Early laparoscopic cholecystectomy (ELC) is the standard treatment for acute calculous cholecystitis (ACC), but it can lead to significant postoperative complications; this study aims to identify risk factors for these complications and create a predictive score.
- A multicentric analysis of 1868 ACC patients revealed that factors such as previous surgeries, diabetes, high bilirubin levels, and gallbladder perforation significantly increased the risk of complications post-surgery.
- The newly developed Chole-Risk Score categorizes patients based on these factors, showing a clear correlation between higher scores and increased complication rates, making it a useful tool for predicting outcomes in ACC surgeries.
Article Synopsis
- - The study investigates the impact of timing for early laparoscopic cholecystectomy (ELC) in patients with acute calculous cholecystitis (ACC) based on when surgery is performed, using a sample of 1,868 cases categorized by timing of surgery and hospital volume.
- - Results indicate that surgeries performed after 7 days (Group 2) had significantly higher rates of conversion to open surgery, intraoperative complications, and post-operative issues compared to surgeries within 7 days (Group 1).
- - Higher volume centers (HVC) demonstrated better outcomes overall compared to low volume centers (LVC), suggesting that ELC for ACC is safer and more effective when performed in experienced facilities, especially
Introduction: To analyse the effectiveness and quality of ambulatory laparoscopic cholecystectomy (CLCMA) versus management of laparoscopic cholecystectomy with conventional hospital stay (CLEST).
Material And Methods: A retrospective study was conducted on all patients ASA I-II, who had a laparoscopic cholecystectomy (LC) over a period of 6 years. The patients were divided into 2 groups: group CLCMA (n = 141 patients) and group CLEST (n = 286 patients).
Introduction: The aim of our study was to analyze the reliability of laparoscopic cholecystectomy (LC) in an Ambulatory Surgery unit, in order to encourage its use and achieve better management of health resources.
Material And Method: Retrospective study of 110 patients operated on for LC between September 2004 and November 2008. The selection criteria were: absence of prior supramesocolic abdominal surgery, no previous admission for acute cholecystitis, absence of stones in the bile ducts and normal liver function tests, no intake of oral anticoagulants or antiplatelet agents and ASA I-II.