Transhepatic versus transperitoneal approach in percutaneous cholecystostomy: a meta-analysis

Abdelhalim, G.; MacCormick, Andrew; Jenkins, P.; Ghauri, S.; Gafoor, N.; Chan, David

doi:10.1016/j.crad.2023.02.015

Cited by 5 publications

(1 citation statement)

References 12 publications

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“…While certain authors find the transperitoneal route insecure due to the reported higher risk of bile leakage, other authors found no significant differences between the methods [20][21][22]. A recent meta-analysis that included 684 patients compared the aforementioned routes and found a significantly higher risk of bleeding (6.3% vs. 1.6%, OR 4.02, p = 0.004) when using the transhepatic route [23]. The decision should be left to the discretion and experience of the radiologist.…”

Section: Methodsmentioning

confidence: 99%

Assessment of Gallbladder Drainage Methods in the Treatment of Acute Cholecystitis: A Literature Review

Bozic,

Ardalic,

Mestrovic

et al. 2023

Medicina

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Gallbladder drainage is a treatment option in high-risk surgical patients with moderate or severe acute cholecystitis. It may be applied as a bridge to cholecystectomy or a definitive treatment option. Apart from the simple and widely accessible percutaneous cholecystostomy, new attractive techniques have emerged in the previous decade, including endoscopic transpapillary gallbladder drainage and endoscopic ultrasound-guided gallbladder drainage. The aim of this paper is to present currently available drainage techniques in the treatment of AC; evaluate their technical and clinical effectiveness, advantages, possible adverse events, and patient outcomes; and illuminate the decision-making path when choosing among various treatment modalities for each patient, depending on their clinical characteristics and the accessibility of methods.

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Section: Methodsmentioning

confidence: 99%