Is percutaneous cholecystostomy safe and effective in acute cholecystitis? Analysis of adverse effects associated with the technique

被引:0
作者
Gonzalez, Natalia Bejarano [1 ]
Monzonis, Andreu Romaguera [1 ]
Cladera, Pere Rebasa [2 ]
Monforte, Neus Garcia [1 ]
LabroCiurans, Meritxell [2 ,3 ]
Closa, Jesus Badia [2 ]
Paredes, Eva Criado [4 ]
Borobia, Francisco Javier Garcia [1 ]
机构
[1] Hosp Univ Parc Tauli, Serv Cirugia Gen & Aparato Digest, Unidad Cirugia Hepatobilio Pancreat, Sabadell, Barcelona, Spain
[2] Hosp Universitari Parc Tauli, Serv Cirugia Gen & Aparato Digest, Sabadell, Barcelona, Spain
[3] Althaia Xarxa Assistencial Univ, Serv Cirugia Gen & Aparato Digest, Manresa, Barcelona, Spain
[4] Hosp Univ Parc Tauli, UDIAT Ctr Diagnost, Serv Radiol, Unidad Radiol Vasc Intervencionista, Sabadell, Barcelona, Spain
来源
CIRUGIA ESPANOLA | 2022年 / 100卷 / 05期
基金
美国国家卫生研究院;
关键词
Acute cholecystitis; Percutaneous cholecystostomy; Gallbladder drainage; Adverse effects; Comorbidity; DIAGNOSTIC-CRITERIA; COMPLICATIONS; MANAGEMENT; OUTCOMES;
D O I
10.1016/j.ciresp.2021.03.012
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: The main objective of our study is to assess the safety and efficacy of percutaneous cholecystostomy for the treatment of acute cholecystitis, determining the incidence of adverse effects in patients undergoing this procedure. Material and method: Observational study with consecutive inclusion of all patients diagnosed with acute cholecystitis for 10 years. The main variable studied was morbidity (adverse effects) collected prospectively. Minimum one-year follow-up of patients under-going percutaneous cholecystostomy. Results: Of 1223 patients admitted for acute cholecystitis, 66 patients required percutaneous cholecystostomy. 21% of these have presented some adverse effect, with a total of 22 adverse effects. Only 5 of these effects, presented by 5 patients (7.6%), could have been attributed to the gallbladder drainage itself. The mortality associated with the technique is 1.5%. After cholecystostomy, one third of the patients (22 patients) have undergone chole-cystectomy. Urgent surgery was performed due to failure of percutaneous treatment in 2 patients, and delayed in another 2 patients due to recurrence of the inflammatory process. The rest of the cholecystectomized patients underwent scheduled surgery, and the procedure could be performed laparoscopically in 16 patients (72.7%). Conclusion: We consider percutaneous cholecystostomy as a safe and effective technique because it is associated with a low incidence of morbidity and mortality, and it should be considered as a bridge or definitive alternative in those patients who do not receive urgent cholecystectomy after failure of conservative antibiotic treatment. (c) 2021 AEC. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:281 / 287
页数:7
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