Mortalidad perioperatoria y volumen quirúrgico de colecistectomías en el régimen contributivo en Colombia

Abstract

Introduction. Biliary pathology is a frequent cause of surgical intervention, but in Colombia there are no official data on mortality or surgical volume associated with this procedure. The objective of this study is to determine the volume of cholecystectomies and to describe the general perioperative mortality rate in six geographic regions during the period from 2012 to 2016. \nMethods. Retrospective cohort study that included patients older than 18 years and affiliated to the contributory health regimen who underwent cholecystectomy. The sufficiency database of the Capitation Payment Unit (UPC), the vital statistics database of the National Administrative Department of Statistics (DANE) and that of the Integrated Social Protection Information System (SISPRO) were used. \nResults. During the study period, 192,080 cholecystectomies were performed, corresponding to 206 cholecystectomies per 100,000 inhabitants. Higher surgical volume was found in people between 65 and 80 years old, in females and geographically in the city of Bogota. The perioperative mortality found corresponded to 0.58%, being higher in elderly male patients, in those who underwent laparotomy and in patients operated on in the city of Bogota. \nDiscussions. According to the findings, these results can serve as the basis for subsequent studies that clearly show the official figures for surgical volume and mortality from cholecystectomy in Colombia.