Revista do Colégio Brasileiro de Cirurgiões
https://revistadocbc.org.br/article/doi/10.1590/0100-6991e-20253874
Revista do Colégio Brasileiro de Cirurgiões
Artigo Original

Hérnias no sítio do trocarte de videocirurgia para colecistectomia

Hernias at the laparoscopic cholecystectomy trocar sites

Maria De Lourdes Pessole Biondo-Simões; Rachel Biondo-Simões

http://dx.doi.org/10.1590/0100-6991e-20253874 RCBC, vol.52, e20253874, 2025
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Resumo

Objetivo: A abordagem cirúrgica do abdômen por videolaparoscopia tem sido amplamente utilizada para a colecistectomia. Esta via de acesso demonstrou vantagens e entre elas cita-se a redução da incidência de hérnia incisional. Seria isto mesmo uma realidade?

Objetivo: Este levantamento visa mostrar a existência destas hérnias e o perfil dos doentes que as apresentam.

Método: Foram revisadas as hérnias incisionais operadas no período de janeiro de 2017 a maio de 2024, no Complexo Hospital do Trabalhador. Como critério de inclusão estabeleceu-se: idade igual ou superior a 18 anos e ter sido submetido à colecistectomia por videolaparoscopia, tendo-se excluídos os operados na emergência e aqueles cujo prontuário não permitiu a obtenção dos dados a serem analisados.

Resultados: Foram identificadas 71 hérnias em sítio de trocarter, todos na posição umbilical (12,98% do total das hérnias incisionais). Predominou em mulheres (73,24%) e a média de idade foi 53,99 ± 13,33 anos. Alterações de peso esteve presente em 91,05% dos pacientes e obesidade em 52,25%. O diagnóstico foi clínico e as hérnias eram complexas. Ainda, 38,03% eram diabéticos e 42,25% hipertensos.

Conclusão: A hérnia incisional no sítio do trocarter umbilical da colecistectomia videolaparoscópica é altamente prevalente tendo como principal fator de risco a obesidade.

Palavras-chave

Hérnia Ventral; Hérnia Incisional; Colecistectomia Laparoscópica

Abstract

Introduction: The surgical approach to the abdomen via laparoscopy has been widely used for cholecystectomy. This access route has demonstrated advantages, including the reduction in the incidence of incisional hernias. Could this really be a reality?

Objective: This survey aims to show the existence of these hernias and the profile of patients who present them.

Method: Incisional hernias operated from January 2017 to May 2024, at the Complexo Hospital do Trabalhador were reviewed. The inclusion criteria were: age 18 years or older and having undergone laparoscopic cholecystectomy, excluding those operated on in the emergency room and those whose medical records did not allow the data to be analyzed to be obtained.

Results: 71 hernias were identified at the trocar site, all in the umbilical position (12.98% of all incisional hernias). It predominated in women (73.24%) and the average age was 53.99 ± 13.33 years. Weight changes were present in 91.05% of patients and obesity in 52.25%. The diagnosis was clinical and the hernias were complex. Furthermore, 38.03% were diabetic and 42.25% had high blood pressure.

Conclusion: Incisional hernia at the umbilical trocar site in laparoscopic cholecystectomy is highly prevalent, with obesity as the main risk factor.

Keywords

Hernia, Ventral; Incisional Hernia; Cholecystectomy, Laparoscopic

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Submetido em:
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Aceito em:
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