Perioperative outcomes of delayed laparoscopic cholecystectomy for acute calculous cholecystitis with and without percutaneous cholecystostomy

Mizrahi, Ido; Mazeh, Haggi; Yuval, Jonathan B.; Almogy, Gidon; Bala, Miklosh; Simanovski, Natalia; Ata, Nadeen Abu; Kuchuk, Eran; Rachmuth, Jacob; Nissan, Aviram; Eid, Ahmed

doi:10.1016/j.surg.2015.05.005

Cited by 47 publications

(40 citation statements)

References 17 publications

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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%

Clinical and operative outcomes of patients with acute cholecystitis who are treated initially with image-guided cholecystostomy

Molavi

Schellenberg

Christian

2018

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Section: Discussionmentioning

confidence: 92%

Clinical and operative outcomes of patients with acute cholecystitis who are treated initially with image-guided cholecystostomy

Molavi

Schellenberg

Christian

2018

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“…On the other hand, medical treatment with antibiotics and general supportive care are initially necessary for patients with surgical risk. In the case of AC in critically ill patients with other comorbidities (grades II and III), urgent or early laparoscopic cholecystectomy should be conducted at advanced centers with appropriate patients' conditions because of its high mortality, morbidity rate, increased complication rates, and longer hospital stays . Percutaneous cholecystostomy (PC) has been used as a useful alternative treatment for these AC patients unfit for surgery.…”

Section: Introductionmentioning

confidence: 99%

Long‐term outcome and recurrence factors after percutaneous cholecystostomy as a definitive treatment for acute cholecystitis

Park

Yang

et al. 2019

J of Gastro and Hepatol

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Background and Aim Percutaneous cholecystostomy (PC) has been frequently used as an alternative treatment for acute cholecystitis in seriously ill patients unfit for surgery. The aim of this study was to investigate the recurrence rate and risk factors of recurrence. Methods Medical records of 102 patients who were followed up for more than 1 year after PC tube removal among 716 patients who underwent PC for acute cholecystitis treatment were retrospectively analyzed. Results The recurrence rate of acute cholecystitis after PC tube removal was 20.6% (21/102), and the mean time to recur was 660 days. Underlying cancer (odds ratio [OR]: 3.369; 95% confidence interval [CI]: 1.006–11.282; P = 0.0489), PC duration shorter than 44 days (OR: 5.596; 95% CI: 1.35–23.201; P = 0.0176), and the presence of common bile duct stone in initial imaging studies (OR: 24.393; 95% CI: 2.696–220.746; P = 0.0045) were positively correlated with recurrence. Tubogram before PC tube removal did not significantly lower the recurrence. However, PC tube clamping for several days significantly lowered the recurrence (OR: 0.108; 95% CI: 0.015–0.794; P = 0.0288). Fifty‐nine (57.8%) had acalculous cholecystitis. Calculous cholecystitis was negatively correlated with recurrence (OR: 0.267; 95% CI: 0.074–0.967; P = 0.0444). Receiver operating characteristic curve of the prediction model for recurrence verified its accuracy (area under the curve: 0.8475). Conclusion We should try to keep PC more than 6 weeks and clamp for 1–2 weeks before removal. For those with the presence of common bile duct stones, calculous cholecystitis, and underlying malignancy, we should keep PC for longer duration and carefully observe symptoms and signs of recurrence.

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“…Most researchers perform delayed cholecystectomy. [2] In the literature, a few studies that have investigated early cholecystectomy after PC have been published. Akyürek et al [23] stated that PC following early cholecystectomy is superior to PC following late cholecystectomy after evaluating early or late cholecystectomy following PC.…”

Section: Discussionmentioning

confidence: 99%

“…[2] Human life is getting longer day by day. Therefore, treatment of elderly people has become more important.…”

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confidence: 99%

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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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Perioperative outcomes of delayed laparoscopic cholecystectomy for acute calculous cholecystitis with and without percutaneous cholecystostomy

Cited by 47 publications

References 17 publications

Clinical and operative outcomes of patients with acute cholecystitis who are treated initially with image-guided cholecystostomy

Clinical and operative outcomes of patients with acute cholecystitis who are treated initially with image-guided cholecystostomy

Long‐term outcome and recurrence factors after percutaneous cholecystostomy as a definitive treatment for acute cholecystitis

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

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