PMID: 8939839Dec 1, 1996Paper

An alternative approach to acute cholecystitis. Percutaneous cholecystostomy and interval laparoscopic cholecystectomy

Surgical Endoscopy
E J PattersonJ K MacFarlane

Abstract

The mainstay of therapy for acute cholecystitis is cholecystectomy, which has a mortality of 5-30% in high-risk patients such as the elderly or critically ill. An alternative treatment option in patients suffering from acute cholecystitis with contraindications to emergency surgery is percutaneous cholecystostomy (PC) followed by interval laparoscopic cholecystectomy. Percutaneous cholecystostomy yields 10-12% mortality in high-risk patients and is therefore a safe temporizing measure, allowing delayed, elective cholecystectomy when the patient is in better condition for surgery. Hospital charts and radiology films were reviewed for all 50 patients who underwent PC for acute cholecystitis between January 1990 and September 1993. Most patients were high risk for emergency cholecystectomy by virtue of their critical illness or underlying medical condition. Twenty-five patients went on to have interval cholecystectomies. We recorded whether they underwent laparoscopic or open cholecystectomy, as elective or emergency procedures, and we recorded direct complications, mortality, and postoperative length of hospital stay. Relief of symptoms occurred within 48 h of PC in 90% of patients, and two patients had complications of PC. Lapar...Continue Reading

Citations

May 12, 2005·Cardiovascular and Interventional Radiology·Shannon L BeardsleyTimothy W I Clark
Sep 1, 2005·Surgical Endoscopy·K Welschbillig-MeunierJ P Arnaud
Oct 7, 2009·Journal of Hepato-biliary-pancreatic Sciences·Takao ItoiAkihiko Tsuchida
Feb 14, 2012·La Radiologia medica·G CarrafielloC Fugazzola
Mar 11, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ji Hun KimWook Hwan Kim
Nov 21, 2000·American Journal of Surgery·L ChangM Stelzner
Jul 18, 2000·The Surgical Clinics of North America·R L Reed
Aug 3, 2001·Primary Care·A N Kalloo, S V Kantsevoy
Jun 20, 1997·Journal of Chromatography. B, Biomedical Sciences and Applications·Y H LiH Yamada
Apr 13, 1999·Gastroenterology Clinics of North America·S M Strasberg
Dec 29, 1999·The Australian and New Zealand Journal of Surgery·A GhahremanJ A Windsor
Aug 20, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Kevin M Bradley, Daniel T Dempsey
Aug 6, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Se Ho ParkByong Ro Kim
Dec 13, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Nusret AkyürekErtan Tatlicioğlu
Feb 4, 2016·Gastroenterology Research and Practice·Agnieszka PopowiczGabriel Sandblom
Dec 18, 2007·American Journal of Surgery·Brendan C VisserO James Garden
Jun 30, 2009·Gastrointestinal Endoscopy·Olga BarkayStuart Sherman
Dec 20, 2017·International Journal of Environmental Research and Public Health·Ping LuChien-Lung Chan
Nov 19, 2015·Journal of Hepato-biliary-pancreatic Sciences·Charleen Shan Wen YeoVishal G Shelat
Sep 15, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Shohei KomatsuHidekazu Mukai
May 2, 2014·Annals of the Royal College of Surgeons of England·S M FlexerJ R Ausobsky
Sep 23, 2011·Journal of Hepato-biliary-pancreatic Sciences·In Woong HanSun-Whe Kim
Aug 4, 2020·Israel Journal of Health Policy Research·Itamar FeldmanReuven Friedman
May 28, 2019·Annals of Gastroenterological Surgery·Danny MouStanley W Ashley
Sep 1, 2016·Journal of Hepato-biliary-pancreatic Sciences·Shohei KomatsuHidekazu Mukai
Jun 1, 2018·Canadian Journal of Gastroenterology & Hepatology·Hideki KamadaTsutomu Masaki
Jul 24, 2010·Journal of Hepato-biliary-pancreatic Sciences·Takao ItoiToshio Kurihara
Nov 7, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Karan KauraVinay Chandrasekhara
Jan 28, 2021·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Fausto RosaSergio Alfieri
Jan 23, 2021·Disease-a-month : DM·Robert LamThiruvengadam Muniraj

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.