2022
DOI: 10.1097/md.0000000000031412
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Safe and effective short-time percutaneous cholecystostomy: A retrospective observational study

Abstract: The introduction of percutaneous cholecystostomy (PCT) has shifted the paradigm in treatment of acute calculous and acalculous cholecystitis. PCT has high success and low complication rates, but there are still unresolved issues regarding the duration of the procedure. The aim of our study is to determine the characteristics and outcome of patients treated with short-term PCT drainage. Patients who were admitted to the Department of gastroenterology and the Department of Abdominal Surgery at the University Hos… Show more

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Cited by 3 publications
(5 citation statements)
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“…Only 1% of patients had mild complications, and the reported long-term mortality rate was 6.8% [33]. Contrary, Simunic et al performed a retrospective study that included 92 patients treated with PGBD from 2015 until 2020 with a significantly shorter average drainage duration of 10.1 ± 4.8 (3-28) days, complication rate of 6.5%, and intrahospital mortality of 10% [34]. In order to compare these strategies, Di Martino et al conducted a retrospective comparative study on 151 patients who were separated into two groups depending on the PGBD duration (median 52 vs. 8 days) with no difference in complication rates, but a significantly higher risk of recurrent disease and readmissions in the group with the early drain removal [35].…”
Section: Timing and Durationmentioning
confidence: 99%
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“…Only 1% of patients had mild complications, and the reported long-term mortality rate was 6.8% [33]. Contrary, Simunic et al performed a retrospective study that included 92 patients treated with PGBD from 2015 until 2020 with a significantly shorter average drainage duration of 10.1 ± 4.8 (3-28) days, complication rate of 6.5%, and intrahospital mortality of 10% [34]. In order to compare these strategies, Di Martino et al conducted a retrospective comparative study on 151 patients who were separated into two groups depending on the PGBD duration (median 52 vs. 8 days) with no difference in complication rates, but a significantly higher risk of recurrent disease and readmissions in the group with the early drain removal [35].…”
Section: Timing and Durationmentioning
confidence: 99%
“…Prolonged PGBD results in longer hospitalization, is related to a higher risk of PGBD dysfunction, and therefore, inevitably leads to higher expenses, not to neglect the patient discomfort [34]. We propose the early drain removal as soon as the clinical status and laboratory tests indicate the inflammation withdrawal but with the recommendation of the earliest possible cholecystectomy in all the surgically fit patients due to a high risk of recurrent disease or other potentially detrimental biliary complications such as acute pancreatitis, cholangitis, or biliary sepsis.…”
Section: Timing and Durationmentioning
confidence: 99%
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