Percutaneous transhepatic cholecystostomy and delayed laparoscopic cholecystectomy in critically ill patients with acute calculus cholecystitis

Spira, Ram M.; Nissan, Aviran; Zamir, Oded; Cohen, Tzeela; Fields, Scott; Freund, Herbert R.

doi:10.1016/s0002-9610(01)00849-2

Cited by 167 publications

(122 citation statements)

References 23 publications

Supporting

Mentioning

115

Contrasting

Order By: Relevance

“…The condition may arise as a result of inadequate dissection of cystic duct or a partial or ORIGINAL ARTICLE subtotal cholecystectomy. Patients with severe anatomical distortion, tissue friability or poor general condition are often managed by performing a salvage partial cholecystectomy or a cholecystostomy [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Residual gallstone disease — Laparoscopic management

et al. 2010

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Residual gallstone disease — Laparoscopic management

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Mortality rates have been reported from 0% to 15% and morbidity rates from 0% to 25%. [2][3][4][5][6][7][8][9] Furthermore, as the majority of patients do not have definitive surgery, recurrent AC is common. 10 This study was performed to quantify the risk of short and long-term morbidity and mortality for this cohort, using recognised scoring systems for co-morbidities and complications.…”

mentioning

confidence: 99%

High rate of common bile duct stones and postoperative abscess following percutaneous cholecystostomy

FurtadoR

DunnG

et al. 2016

annals

View full text Add to dashboard Cite

INTRODUCTION The short and long-term outcomes in patients managed with percutaneous cholecystostomy (PCY) at a single institution are described. METHODS A retrospective study was conducted for patients treated between February 2000 and November 2012. Patient charts, imaging and biochemical data were reviewed. Patient demographics, presenting clinical features and treatment variables were noted. Outcome variables were length of admission, 30-day mortality, 30-day unplanned readmission, tube dislodgement, abscess formation, subsequent endoscopic retrograde cholangiography and surgery, complications after surgery and median overall survival. RESULTS PCY was performed for 55 patients for acute cholecystitis where surgical risk was very high. The 30-day readmission rate was 20% (n=11), the 30-day mortality rate was 9% (n=5) and median survival was 59 months (95% confidence interval: 30-88 months). The median follow-up duration was 68 months. Tubes were dislodged in 15 patients (27%) and an abscess occurred after PCY in 5 patients (9%). Subsequent endoscopic common bile duct stone extraction was required in 20 patients (36%). Cholecystectomy was planned in 22 patients and an abscess occurred following the cholecystectomy in 5 (23%). CONCLUSIONS Although a PCY is lifesaving, significant morbidity can arise during recovery. This study demonstrates a high rate of choledocholithiasis (44%), tube dislodgement (27%) and postoperative abscess (23%) compared with previous reports.

show abstract

“…10,13 Moreover, the presence of the drainage catheter and bag may reduce the quality of life for a patient with a short life expectancy. Therefore, internal GBD can be considered in such a case.…”

Section: Discussionmentioning

confidence: 99%

A successful rendezvous endoscopic ultrasonography-guided gallbladder drainage in malignant cystic duct obstruction

Kim

Lee

Kim

et al. 2017

Int J Gastrointest Interv

View full text Add to dashboard Cite

Endoscopic ultrasonography-guided gallbladder drainage (EUS-GBD) has been developed as an alternative drainage method in patients with malignant cystic duct obstruction. However, the procedure of track dilation is difficult in case of severe gallbladder wall thickening with tumor involvement or inflammation. The rendezvous technique via external fistulous track is considered in failed attempts to dilate an internal track between the gallbladder and the stomach/duodenum using conventional approach of EUS-GBD. This report presents a 56-year-old man with pancreatic cancer with malignant cystic duct obstruction who underwent percutaneous transhepatic gallbladder drainage. The patient was successfully treated using rendezvous EUS-GBD technique after he failed the conventional EUS-GBD procedure of internal track dilation.

show abstract

Percutaneous transhepatic cholecystostomy and delayed laparoscopic cholecystectomy in critically ill patients with acute calculus cholecystitis

Cited by 167 publications

References 23 publications

Residual gallstone disease — Laparoscopic management

Residual gallstone disease — Laparoscopic management

High rate of common bile duct stones and postoperative abscess following percutaneous cholecystostomy

A successful rendezvous endoscopic ultrasonography-guided gallbladder drainage in malignant cystic duct obstruction

Contact Info

Product

Resources

About