Factores asociados a la colecistectomía laparoscópica difícil en adultos del Hospital de Alta Complejidad de Trujillo, Perú

Objective: To determine the factors associated with difficult laparoscopic cholecystectomy in adults at a high-complexity hospital in Trujillo, Peru. Methods: Observational, cross-sectional, and analytical study. Simple random sampling was conducted. Patients under 18 years of age, those classifed as ASA IV or V, and individuals with liver cirrhosis, gallbladder cancer, biliarytract cancer, pancreatic cancer, or incomplete medical records were excluded. The dependent variable was difficult laparoscopic cholecystectomy. Descriptive and inferential statistics were used, and Poisson regression was applied to estimate crude and adjusted prevalence ratios in bivariate and multivariate analyses. Results: Among the 150 patients included, the median duration of illness was 10 days (IQR: 2–90), and total cholecystectomy was performed in 98.7% of cases (n = 148). In cases of difficult laparoscopic cholecystectomy, the median surgical time was 60 minutes (IQR: 30–150), and conversion occurred in 6.7% of cases (n = 5). In the adjusted analysis, surgical time was statistically significant (aPR: 1.03; 95% CI: 1.01–1.04). Conclusions:Surgical time is an intraoperative factor associated with difficult laparoscopic cholecystectomy.