Outcomes of percutaneous cholecystostomy and predictors of eventual cholecystectomy

Yeo, Chia Rou; Tay, Vivyan W. Y.; Low, Jee Keem; Woon, Winston; Punamiya, Sundeep; Shelat, Vishal G

doi:10.1002/jhbp.304

Cited by 73 publications

(61 citation statements)

References 38 publications

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“…In an attempt to clarify the conflicting evidences, Yeo et al[57] 2017 in a retrospective review, studied 103 aged patients (median: 80 years), who had undergone PC procedures. The study results showed that the patients with higher APACHE II scores, higher Charlson index, delay in diagnosis and carrying out the procedure had higher in-hospital mortality.…”

Section: When To Perform Cholecystostomymentioning

confidence: 99%

See 1 more Smart Citation

Acute calculous cholecystitis: Review of current best practices

Gomes¹,

Soares²,

Saverio³

et al. 2017

WJGS

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Acute calculous cholecystitis (ACC) is the most frequent complication of cholelithiasis and represents one-third of all surgical emergency hospital admissions, many aspects of the disease are still a matter of debate. Knowledge of the current evidence may allow the surgical team to develop practical bedside decision-making strategies, aiming at a less demanding procedure and lower frequency of complications. In this regard, recommendations on the diagnosis supported by specific criteria and severity scores are being implemented, to prioritize patients eligible for urgency surgery. Laparoscopic cholecystectomy is the best treatment for ACC and the procedure should ideally be performed within 72 h. Early surgery is associated with better results in comparison to delayed surgery. In addition, when to suspect associated common bile duct stones and how to treat them when found are still debated. The antimicrobial agents are indicated for high-risk patients and especially in the presence of gallbladder necrosis. The use of broad-spectrum antibiotics and in some cases with antifungal agents is related to better prognosis. Moreover, an emerging strategy of not converting to open, a difficult laparoscopic cholecystectomy and performing a subtotal cholecystectomy is recommended by adept surgical teams. Some authors support the use of percutaneous cholecystostomy as an alternative emergency treatment for acute Cholecystitis for patients with severe comorbidities.

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Section: When To Perform Cholecystostomymentioning

confidence: 99%

“…The study results showed that the patients with higher APACHE II scores, higher Charlson index, delay in diagnosis and carrying out the procedure had higher in-hospital mortality. On the other, the absence of these findings was associated with eventual cholecystectomy[57]. …”

Section: When To Perform Cholecystostomymentioning

confidence: 99%

Acute calculous cholecystitis: Review of current best practices

Gomes¹,

Soares²,

Saverio³

et al. 2017

WJGS

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“…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: 73%

Percutaneous Cholecystostomy: A Curative Treatment Modality In Elderly & High ASA Score Acute Cholecystitis Patients.

Tolan

Semiz-Oysu²,

Başak³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Acute cholecystitis (AC) is a common emergency seen by general surgeons. Optimal treatment is laparoscopic cholecystectomy (LC); however, in cases where surgery cannot be performed due to high risk of morbidity and mortality, such as in elderly patients with comorbid diseases, other treatment modalities may be used. Percutaneous cholecystostomy (PC) is one alternative method to treat AC. PC can be used to provide drainage of the gall bladder and control infection. Subsequently, interval cholecystectomy can be performed when there are better conditions. Presently described is experience and results with PC in high risk, elderly patients with AC.

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“…Yeo et al [25] found that in patients with LC following PC, biliary injury rate was lower. In our study, biliary tract injury was two times more common in the non-PC group.…”

Section: Discussionmentioning

confidence: 99%

Bridge treatment for early cholecystectomy in geriatric patients with acute cholecystitis; percutaneous cholecystostomy

Zeren¹,

Bayhan²,

Koçak³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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Outcomes of percutaneous cholecystostomy and predictors of eventual cholecystectomy

Abstract: Percutaneous cholecystostomy is safe and effective in treatment of acute cholecystitis. Prompt PC improves survival in high risk surgical patients. Comorbidity severity is associated with mortality. Patients with lesser comorbidity are likely to receive eventual cholecystectomy.

Cited by 73 publications

References 38 publications

Acute calculous cholecystitis: Review of current best practices

Acute calculous cholecystitis: Review of current best practices

Percutaneous Cholecystostomy: A Curative Treatment Modality In Elderly & High ASA Score Acute Cholecystitis Patients.

Bridge treatment for early cholecystectomy in geriatric patients with acute cholecystitis; percutaneous cholecystostomy

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