Publication: The impact of a percutaneous cholecystostomy catheter in situ until the time of cholecystectomy on the development of recurrent acute cholecystitis: a historical cohort study
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Date
2018-01-01
Authors
HASBAHCECI, Mustafa
CENGİZ, Merve Busra
Malya, FATMA ÜMİT
Kunduz, Enver
Memmi, Naim
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Abstract
Background: the optimal duration of percutaneous
cholecystostomy in patients with acute cholecystitis is
unknown.
Methods: this study was a retrospective analysis of patients
(age ≥ 18 years) who underwent percutaneous cholecystostomy due to acute calculous cholecystitis. Patients were
grouped according to treatment modality: percutaneous
cholecystostomy as a definitive treatment (group 1), subsequent surgical treatment after the removal of the catheter
(group 2) and those remaining in situ (group 3). The development of gallstone-related complications was the main
outcome.
Results: there were 24 females (43.6%) and 31 males
(56.4%) included in the study with a mean age of 64.8
± 15.9 years. There were 16 (29.1%), 19 (34.5%) and 20
(36.4%) patients in groups 1, 2, and 3, respectively. The
catheter withdrawal time for group 1 and group 2 was 18.2
± 6.9 and 20.7 ± 13.4 days, respectively. Surgical treatment
was performed after a mean of 85.4 ± 93.5 days following
catheter removal in group 2 and a mean of 64 ± 32.5 days
while the PC tube was in place in group 3. There were one
(6.3%) and two cases of a recurrence (10.5%) in groups 1
and 2, respectively. Two patients developed choledocholithiasis (10%) in group 3.
Conclusion: maintaining percutaneous cholecystostomy
tubes in place until the time of surgery in surgically fit
patients may help to prevent a recurrence after acute calculous cholecystitis.
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Citation
HASBAHCECI M., CENGİZ M. B. , Malya F. Ü. , Kunduz E., Memmi N., -The impact of a percutaneous cholecystostomy catheter in situ until the time of cholecystectomy on the development of recurrent acute cholecystitis: a historical cohort study-, REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS, cilt.110, ss.629-633, 2018