2013
DOI: 10.1111/j.1477-2574.2012.00610.x
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Clinical outcomes of a percutaneous cholecystostomy for acute cholecystitis: a multicentre analysis

Abstract: Only a small fraction of patients undergoing a PC proceed to a cholecystectomy with a high risk of conversion to an open procedure. A quarter of patients presented with recurrent cholecystitis during follow-up. The mortality rate is high during the index admission from sepsis and within the 1 year of follow-up from other causes.

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Cited by 125 publications
(122 citation statements)
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“…This is in keeping with reported rates of conversion from laparoscopic to open cholecystectomy of 14%-67% in patients who have had PC tube placement. 3,10,14,28,[30][31][32][33] In our study, 15.0% of patients required 1 or more readmissions because of complications related to the PC tube, most commonly tube dislodgement or clogging, and pain at the insertion site. In a systematic review, Winbladh and colleagues 25 also reported slippage of the PC tube, in 8.6% of patients.…”
Section: Discussionmentioning
confidence: 92%
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“…This is in keeping with reported rates of conversion from laparoscopic to open cholecystectomy of 14%-67% in patients who have had PC tube placement. 3,10,14,28,[30][31][32][33] In our study, 15.0% of patients required 1 or more readmissions because of complications related to the PC tube, most commonly tube dislodgement or clogging, and pain at the insertion site. In a systematic review, Winbladh and colleagues 25 also reported slippage of the PC tube, in 8.6% of patients.…”
Section: Discussionmentioning
confidence: 92%
“…16,27,28 These studies, however, are limited to relatively small cohorts and lack consistency regarding a delayed versus early laparoscopic cholecystectomy approach after initial PC tube insertion. Furthermore, a 2013 Cochrane review showed that these trials also were not adequately powered, with a high risk of bias and differences in patient inclusion criteria.…”
Section: Discussionmentioning
confidence: 99%
“…LC was performed in 81% and conversion rate was 15% in that study. [14] In a retrospective study comprising 53 PC patients from between 2000 and 2010 with median age of 74 years and ASA [15] Conversion to open surgery in our study was necessary in 3 (18.8%) of 16 LC patients due to perioperative technical difficulties. Majority of the patients, 13 of 16 (81.2%), were successfully operated on laparoscopically.…”
Section: Discussionmentioning
confidence: 99%
“…9 Despite the fact that there is no hard evidence concerning the benefit of PC in critically ill patients 10 it is highly effective at AC resolution in the acute phase of inflammation. 11 For such cases, PC drainage may be used either as a bridge towards a delayed LC or in higher-risk patients (ASA Grades III and IV) as definitive therapy.…”
Section: Introductionmentioning
confidence: 99%