Early scheduled laparoscopic cholecystectomy following percutaneous transhepatic gallbladder drainage for patients with acute cholecystitis

Chikamori, Fumio; Kuniyoshi, Nobutoshi; Shibuya, Susumu; Takase, Yasuhiro

doi:10.1007/s00464-002-9004-6

Cited by 64 publications

(67 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The mean ASA score was 1.27±0.6 in group 1, 0.89± 0.54 in group 2, and 0.59±0.69 in group 3. There was significant difference in ASA class between the three groups (P<0.05): The number of ASA I patients increased (3, 13, and 30 patients in groups 1, 2, and 3, respectively), whereas the number of ASA III patients decreased (13,6, and 5 patients in groups 1, 2, and 3, respectively). Comorbid conditions were significantly more common in the PTGBD group ( Fig.…”

Section: Clinical Findingsmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Outcomes of Laparoscopic Cholecystectomy for Severe Acute Cholecystitis

Kim

Jeong

et al. 2008

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

The aim of this study was to evaluate the surgical outcomes of laparoscopic cholecystectomy (LC) in patients who were diagnosed with severe acute cholecystitis (SAC) and to clarify the useful treatment modalities of SAC. Of 112 patients who presented SAC, we selected 99 patients and divided them into 3 groups: 37 patients who underwent preoperative percutaneous transhepatic gallbladder drainage (PTGBD; group 1), 62 patients with SAC but not indicated for PTGBD (group 2), and 59 patients with acute and chronic cholecystitis (group 3). The conversion rate was 2.7% (1/37) in group 1, 6.5% (4/62) in group 2, and 1.7% (1/59) in group 3. In groups 1 and 2, the postoperative stay and operative time were longer than those in group 3 with significant difference, respectively (P<0.05). In group 2, there was correlation not only between postoperative stay and age but also between postoperative stay and ASA class (P<0.05). In group 2, there was no correlation between time to operation and operative time and also between time to operation and postoperative stay, however, there was surprisingly significant correlation between time to operation and conversion rate in SAC (P=0.018). In conclusion, PTGBD should selectively be performed in patients with severe comorbidities rather than improving surgical outcomes of LC for severe acute cholecystitis. If patients are not indicated for PTGBD, an early laparoscopic cholecystectomy is recommended because it can decrease conversion rate, although it cannot decrease operative time and postoperative stay.

show abstract

Section: Clinical Findingsmentioning

confidence: 99%

“…9,10 Moreover, treatment modalities other than LC, such as cholecystectomy or subtotal cholecystectomy have been considered, 3,[11][12][13] however, the treatment of SAC has not exactly been specified in most literature.…”

Section: Introductionmentioning

confidence: 99%

Surgical Outcomes of Laparoscopic Cholecystectomy for Severe Acute Cholecystitis

Kim

Jeong

et al. 2008

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

show abstract

“…Chikamori et al 11 reported that 16 laparoscopic cholecystectomy patients with PTGBD experienced a reduced duration of surgery and a lower rate of conversion to open laparotomy compared with those who received either laparoscopic cholecystectomy without PTGBD or delayed laparoscopic cholecystectomy after con- Patients who underwent PTGBD in this study were older and were therefore more likely to have comorbid disease compared with the group that did not undergo PTGBD. Moreover, the PTGBD group had more severe acute cholecystitis, as determined by the presence of fever, an elevated WBC count, and a raised C-reactive protein level; they also had more cholecystitis-induced disorders that could be classified as severe.…”

Section: Discussionmentioning

confidence: 60%

“…In contrast, Chikamori et al 11 found that the duration of surgery was shortened when laparoscopic cholecystectomy was performed as soon as possible after PTGBD. In our study, the operative time and amount of blood loss were not significantly different between the two groups.…”

Section: Discussionmentioning

confidence: 92%

“…[1][2][3][4][5] In addition, several studies have evaluated laparoscopic cholecystectomy after selective sustained percutaneous transhepatic gallbladder drainage (PTGBD) for the control of severe inflammation 3,[8][9][10] and improvement of cholecystitis-induced disorders. Especially, Chikamori et al 11 reported on 16 laparoscopic cholecystectomy patients with PTGBD who experienced a reduced duration of surgery and a lower rate of conversion to open laparotomy compared with laparoscopic cholecystectomy pa-tients who did not receive PTGBD and also those who underwent delayed laparoscopic cholecystectomy after conservative therapy. However, these studies were relatively small, and the results were contradictory.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Benefits of Percutaneous Transhepatic Gallbladder Drainage prior to Laparoscopic Cholecystectomy for Acute Cholecystitis

Kim

Ahn

et al. 2016

J Minim Invasive Surg

View full text Add to dashboard Cite

Purpose: Several studies have reported that laparoscopic cholecystectomy with percutaneous transhepatic gallbladder drainage (PTGBD) is associated with a reduced duration of surgery and a lower rate of conversion to open laparotomy compared with laparoscopic cholecystectomy without PTGBD and delayed laparoscopic cholecystectomy after conservative therapy. However, these results are contradictory. This retrospective study investigated the safety and usefulness of laparoscopic cholecystectomy combined with pre-operative PTGBD in patients with acute cholecystitis. Methods:The clinicopathologic data and surgical outcomes of 101 patients who underwent laparoscopic cholecystectomy between January 2010 and September 2015 were reviewed retrospectively. Results:Patients in the PTGBD group vs. the non-PTGBD group were significantly older (mean age: 65.47±12.2 vs. 56.32±13.7; p=0.001). Underlying diseases were also significantly more common in the PTGBD group (75.4% vs. 45.5%; p=0.002). There were no significant differences between the two groups in terms of operative time, blood loss, rate of open conversion, postoperative oral intake, and postoperative hospital stay. Total hospital day was significantly longer in the PTGBD group (11.14±7.22 vs. 6.23±5.17; p=0.049). There was no significant difference in the postoperative complications between the two groups, and all patients in this study lived. Conclusion:This study suggested that satisfactory results can be achieved with selective preoperative PTGBD in older and sicker patients with acute cholecystitis.

show abstract

Percutaneous transhepatic gallbladder drainage followed by elective laparoscopic cholecystectomy in patients with moderate acute cholecystitis under antithrombotic therapy

Shibasaki

Takahashi

Toi

et al. 2013

J Hepatobiliary Pancreat Sci

View full text Add to dashboard Cite

show abstract

Early scheduled laparoscopic cholecystectomy following percutaneous transhepatic gallbladder drainage for patients with acute cholecystitis

Abstract: The findings of this study indicate that early scheduled LC following PTGBD is a safe and effective therapeutic option for patients with acute cholecystitis especially in elderly and complicated patients.

Cited by 64 publications

References 19 publications

Surgical Outcomes of Laparoscopic Cholecystectomy for Severe Acute Cholecystitis

Surgical Outcomes of Laparoscopic Cholecystectomy for Severe Acute Cholecystitis

The Benefits of Percutaneous Transhepatic Gallbladder Drainage prior to Laparoscopic Cholecystectomy for Acute Cholecystitis

Percutaneous transhepatic gallbladder drainage followed by elective laparoscopic cholecystectomy in patients with moderate acute cholecystitis under antithrombotic therapy

Contact Info

Product

Resources

About