Percutaneous gallbladder drainage for delayed laparoscopic cholecystectomy in patients with acute cholecystitis

Kim, Kon Hong; Sung, Chun Ki; Park, Bae Keon; Kim, Woo Kil; Oh, Chang Whan; Kim, Ki Sung

doi:10.1016/s0002-9610(00)00247-6

Cited by 57 publications

(41 citation statements)

References 10 publications

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“…Retained stones, postoperative stone formation, and recurrent infection yielded unsatisfactory results [6]. Percutaneous cholecystostomy has been proved effective for critically ill patients and acalculous cholecystitis [1,8,14]. However, to prevent complications after percutaneous cholecystostomy, an interval laparoscopic cholecystectomy as a secondary intervention usually is mandatory [1,14].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic subtotal cholecystectomy for severe cholecystitis

Beldi

Glättli²

2003

Surgical Endoscopy

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Section: Discussionmentioning

confidence: 99%

Laparoscopic subtotal cholecystectomy for severe cholecystitis

Beldi

Glättli²

2003

Surgical Endoscopy

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“…There have been some arguments for the use of PTGBD before LC. Kim et al [8] reported that the conversion rate to open cholecystectomy and the morbidity rate in LC after 72 hr of admission following PTGBD vs non-PTGBD in patients with acute cholecystitis was 15% (4/27) vs 23% (3/13) and 15% (4/27) vs 15% (2/13), respectively. They concluded that PTGBD did not significantly improve the outcome of LC for acute cholecystitis.…”

Section: Discussionmentioning

confidence: 99%

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

Chikamori¹,

Kuniyoshi²,

Shibuya

et al. 2002

Surgical Endoscopy

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“…The mortality rate after surgery performed within 48 h of the acute attack has been up to 19% in elderly, high-risk patients with coexisting disease [5, 8]. However, in recent years far better results have been achieved with almost zero mortality [9, 10, 11, 12, 13, 14, 15]. As PTBD nowadays can be done fairly easily with the evolution of ultrasonography and better drainage catheters [16], it has been used more frequently in the treatment of the severely ill.…”

Section: Introductionmentioning

confidence: 99%

Complications and Late Outcome following Percutaneous Drainage of the Gallbladder in Acute Calculous Cholecystitis

Andrén‐Sandberg¹,

Haugsvedt²,

Larssen³

et al. 2001

Dig Surg

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Background: Acute septic cholecystitis (AC) remains a difficult problem in patients with coexisting severe illness, and ultrasonographically guided percutaneous puncture and drainage of the gallbladder (PTBD) may be an alternative treatment in this context. Setting: University Hospital, Norway. Methods: Retrospective study of the safety and efficacy of this approach in 86 consecutive patients treated from 1992 to 1999. Results: Five patients died. Drainage did not seem to influence the condition in these patients, who were drained for a mean of 8 days after admission compared to 4 days for the survivors (p = 0.01), and had a higher S-bilirubin on the day of the drainage, 46 and 29 µmol/l (p = 0.05), respectively. Seven patients had an intraperitoneal bile leak and 2 had worsening septicemia. One of these patients had both, and the gallbladder was removed. An open cystic duct demonstrated at catheter cholangiography was associated with a bile leak in 3 (4%) of 76 patients as opposed to 4 (40%) of 10 patients with obstruction (p = 0.001). Only 60 patients survived another 6 months because of general debility and other diseases. Twenty-seven (45%) of these were asymptomatic during follow-up. Twenty-eight (47%) of the remaining patients had at least one recurrent episode of AC. One patient who was readmitted due to AC had urgent cholecystectomy and 8 others had elective cholecystectomy during follow-up for a total cholecystectomy rate of 12%. A common bile duct stone was demonstrated in 4 patients after ERCP and indicative signs were found in another 5 (10%). Conclusions: PTBD remains a good option in patients with septic AC who have severe coexisting disease and may be too ill to undergo an operation. It may not be necessary to remove the gallbladder in 45% or more of the patients as many remain asymptomatic after PTBD.

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Percutaneous gallbladder drainage for delayed laparoscopic cholecystectomy in patients with acute cholecystitis

Cited by 57 publications

References 10 publications

Laparoscopic subtotal cholecystectomy for severe cholecystitis

Laparoscopic subtotal cholecystectomy for severe cholecystitis

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

Complications and Late Outcome following Percutaneous Drainage of the Gallbladder in Acute Calculous Cholecystitis

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