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View - Repositório Aberto da Universidade do Porto

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Colecistite Agu<strong>da</strong>. Aspectos Clínicos e Experimentais<br />

In the statistical analysis we resorted to continuous or discontinuous<br />

variables; quantitativeness was compared by the t test of Student or ANOVA,<br />

or, alternatively using non-parametric tests (AAann-Whitney and Kinshale-<br />

Walley), when indicated.<br />

Fisher.<br />

The proportions were compared by the c 2 test or by the exact test of<br />

The greatness of association between variables was measured by the Odds<br />

Ratios (OR) calculation and respective intervals of reliability at 95%, using the<br />

EGRET programme to carry out non-conditional logistic regression. The<br />

comparison of the 2 groups (A-laparoscopic surgery and B - by laparotomy),<br />

provided the following results: absence of significant differences with regards<br />

to age, sex, chole<strong>do</strong>cho-lithiasis and acute pancreatitis, pain in the right<br />

hypochondrium, sickeness and jaundice ecographic <strong>da</strong>ta, galbladder pathology<br />

and bacteriobilia.<br />

Palpable gallbladder and temperature above 38°C and leucocytosis were<br />

higher in group B than in group A.<br />

The univaried analysis of the various parameters allowed for the following<br />

conclusions: better results obtained with laparoscopic surgery with regards to<br />

morbidity (10% in group A and 32% in group B), operative mortality (0 to<br />

2% although it has no statistical relevance here) and shorter hospital stay (5<br />

<strong>da</strong>ys in group A and 12 in group B). There were no differences regarding the<br />

results obtained in relation to the present state of the 2 groups of patients<br />

operated on.<br />

This study was completed with the statistical analysis referring to the<br />

identification of possible preoperative factors of conversion in the 100 patients<br />

operated on by laparoscopy. Thus, 2 subgroups were considered, whether<br />

conversion was performed or not (AI -not converted; A2 - converted in<br />

laparotomy). The incidence of conversion was of 24%, with anatomical<br />

160

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