Calidad de asistencia en cirugía hepática: Un esfuerzo multidisciplinario

Karina Rando; Martín Harguindeguy; Alejandro Leites; Alejandro Ettlin; Graciela Zunini; Solange Gerona

Authors

Karina Rando Hospital Central de las Fuerzas Armadas, Servicio de Cirugía Hepática y Trasplante, Sub Jefey Coordinadora de Anestesia
Martín Harguindeguy Universidad de la República, Facultad de Medicina, Clínica Quirúgica, Profesor Adjunto
Alejandro Leites Hospital Central de las Fuerzas Armadas, Servicio de Cirugía Hepática, Jefe
Alejandro Ettlin Hospital Central de las Fuerzas Armadas, Cirujano Hepato-Bilio Pancreático
Graciela Zunini Universidad de la República, Facultad de Medicina, Anestesiología, Profesor Agregado
Solange Gerona Hospital Central de las Fuerzas Armadas, Hepatología, Jefa

Abstract

Morbidity and mortality have classically constituted the most used quality indicators in different areas of health, including anesthesia and surgery. In liver surgery, mortality has declined significantly in recent years, for example, from figures from 25% to 0% (1), and the incidence of morbidity varies between 22% and 47% (1). With advances in anesthesiology and surgery, hepatectomies are usually performed without exceeding the aforementioned risks, so the evaluation based on mortality and morbidity is insufficient and not very sensitive today. It is not enough for patients to survive liver surgery without sequelae, but it is necessary to reach other more demanding quality standards to establish national or regional reference centers.

References

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