Finding the Most Favorable Timing for Cholecystectomy after Percutaneous Cholecystostomy Tube Placement: An Analysis of Institutional and National Data

Woodward, Steven G.; Rios-Diaz, Arturo J.; Zheng, Richard; McPartland, Connor; Tholey, Renee; Tatarian, Talar; Palazzo, Francesco

doi:10.1016/j.jamcollsurg.2020.10.010

Cited by 20 publications

(23 citation statements)

References 26 publications

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“…Two studies consisting of 9143 patients evaluated cholecystectomy within or after 4 weeks of initial percutaneous cholecystostomy. [15,16]. There was no difference in conversion to open in both groups.…”

Section: Cholecystectomy Within 8 Weeks Of Percutaneous Cholecystostomy: [Figure 8]mentioning

confidence: 79%

“…Six studies including 18640 patients were included in the final analysis. [11][12][13][14][15][16][17]. [Figure 1].…”

Section: Resultsmentioning

confidence: 99%

“…In studies comparing cholecystectomy within or after 8 weeks of percutaneous cholecystostomy [15,16], overall complications and hospital stay were significantly more in cholecystectomy in less than 8 weeks compared to cholecystectomy in more than 8 weeks. There was no difference in conversion to open, 90-day mortality and need for subtotal cholecystectomy between the groups.…”

Section: Discussionmentioning

confidence: 97%

“…In this systematic review and meta-analysis, we tried to evaluate the optimal timing of cholecystectomy after percutaneous cholecystostomy in the case of calculous cholecystitis.. We evaluated conversion to open, overall complications after cholecystectomy, biliary complications, 90-day mortality, hospital stay after cholecystectomy performed in various time frames after cholecystostomy based on available literature. After a systematic search described in methodology and removing duplicates, we found six articles [11][12][13][14][15][16][17], which evaluated the timing of cholecystectomy after percutaneous cholecystostomy. There was a lack of uniformity about the timing of cholecystectomy after percutaneous cholecystostomy in the available literature, so we evaluated different time frames in our meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

“…There were certain limitations in our meta-analysis, first, we could include only a limited number of studies as there is still a limited number of studies done in this research question. Three studies [12,15,16] had the majority of patients and other studies included a very limited number of patients and hence results can be skewed by the weight given to those three studies during various analyses. Also, the time duration of cholecystectomy after cholecystostomy varied widely across the studies.…”

Section: Discussionmentioning

confidence: 99%

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Timing of cholecystectomy after percutaneous cholecystectomy for acute cholecystitis- A systematic review and meta-analysis

Vasavada

Patel

2021

Preprint

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Introduction: There is a controversy about the optimum timing of cholecystectomy after percutaneous cholecystostomy. This systematic review and meta-analysis aimed to evaluate outcomes of early versus late cholecystectomy after percutaneous cholecystectomy. Methods: The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and MOOSE guidelines. Heterogeneity was measured using Q tests and I2 statistics. The random-effects model was used. We evaluated cholecystectomy performed at different periods after percutaneous cholecystostomy within 72 hours or later, within or after one week or percutaneous cholecystostomy, within 10 days or after 10 days, less than 2 weeks or more than 2 weeks, less than 4 weeks or more than 4 weeks, less than 8 weeks or more than 8 weeks as per literature. Results: Six studies including 18640 patients were included in the final analysis. There was no difference in overall complications within or after 72 hours cholecystectomy group, but mortality and biliary complications were significantly high in the less than 72 hours group (p=0.05 and 0.0002 respectively). There was no difference in mortality, overall complication, biliary tract complications in less than 1 week versus more than 1 week and less than 10 days versus more than 10 days group. Overall complications were significantly less in the less than 2 weeks group compared to the more than 2 weeks group. There was no difference in mortality and biliary tract complications between less than 2 weeks and more than 2 weeks group. Overall complication rate (risk ratio 0.67, p <0.0001), postoperative mortality (risk ratio 0.46, p=0.003), bile duct injury (risk ratio 0.62, p=0.01) was significantly less in earlier than 4-week group. Hospital stay was not significantly different between less than 4 weeks versus more than 4 weeks group. (Mean difference= -2.74, p=0.12). Ove all complication rates were significantly more in less than 8 weeks group. (Risk ratio 1.07, p=0.01). Hospital stay was significantly less in less than 8 weeks group. (Mean difference 0.87, p=0.01). Conclusion: Early cholecystectomy preferably within 4 weeks after percutaneous cholecystostomy is preferable over late cholecystectomy.

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Section: Cholecystectomy Within 8 Weeks Of Percutaneous Cholecystostomy: [Figure 8]mentioning

confidence: 79%

“…Six studies including 18640 patients were included in the final analysis. [11][12][13][14][15][16][17]. [Figure 1].…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Timing of cholecystectomy after percutaneous cholecystectomy for acute cholecystitis- A systematic review and meta-analysis

Vasavada

Patel

2021

Preprint

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The optimal timing of interval laparoscopic cholecystectomy following percutaneous cholecystostomy based on pathological findings and the incidence of biliary events

Hung

Chen

Tsai

et al. 2021

J Hepato Biliary Pancreat

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Acute cholecystitis (AC) is a common biliary disease. In recent decades, several guidelines, including the Tokyo Guidelines (TG) and World Society of Emergency Surgery (WSES) guidelines, have been established to optimize the management of AC. 1,2 For patients with severe AC or with multiple comorbidities, these guidelines recommend the temporary drainage of bile, that is, percutaneous cholecystostomy (PC), at the acute phase of AC to de-escalate the severity of infection. The safety and efficacy of PC have been demonstrated in many studies. [3][4][5][6] However, the reported incidence of recurrence after PC placement is high, and up to 13.8% to 29.8% of AC patients with PC placement have suffered from

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What is the ideal timing of cholecystectomy after percutaneous cholecystostomy for acute cholecystitis?

et al. 2023

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Finding the Most Favorable Timing for Cholecystectomy after Percutaneous Cholecystostomy Tube Placement: An Analysis of Institutional and National Data

Cited by 20 publications

References 26 publications

Timing of cholecystectomy after percutaneous cholecystectomy for acute cholecystitis- A systematic review and meta-analysis

Timing of cholecystectomy after percutaneous cholecystectomy for acute cholecystitis- A systematic review and meta-analysis

The optimal timing of interval laparoscopic cholecystectomy following percutaneous cholecystostomy based on pathological findings and the incidence of biliary events

What is the ideal timing of cholecystectomy after percutaneous cholecystostomy for acute cholecystitis?

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