Early cholecystectomy (≤ 8 weeks) following percutaneous cholecystostomy tube placement is associated with higher morbidity.

Surgical Endoscopy
Maria S AltieriAurora Pryor

Abstract

Percutaneous cholecystostomy tube (PCT) placement is often the initial management approach to severe acute cholecystitis in the unstable patient. However, the timing of cholecystectomy after PCT has not been carefully examined. The purpose of this study was to compare outcomes of early versus late cholecystectomy following PCT placement. The New York SPARCS administrative database was searched for all patients undergoing PCT placement between 2000 and 2012. Patients were followed for subsequent cholecystectomy (CCX) procedures up to 2014. Subsequent cholecystectomies were divided into early (≤ 8 weeks) versus late (> 8 weeks) groups. Outcomes included overall complications, 30-day readmissions, 30-day Emergency Department (ED) visits, and length of stay (LOS). Multivariable regression models were used to examine the differences in clinical outcomes between these two groups, after adjusting for possible confounding factors. There were 9728 patients who underwent PCT placement identified during the time period, as early subsequent cholecystectomy was performed in 1211 patients (40.4%), while 1787 (59.6%) patients had a late cholecystectomy. Average time to cholecystectomy was 38 days in the early group, versus 203 days in the lat...Continue Reading

References

Aug 24, 1999·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·K D LillemoeS D Parker
Jan 12, 2013·Journal of Hepato-biliary-pancreatic Sciences·Tadahiro TakadaUNKNOWN Tokyo Guidelines Revision Committee

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Citations

Oct 14, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Alpen Y GumusogluGokhan Adas
May 23, 2021·Irish Journal of Medical Science·Shayeri Roy ChoudhuryManavjit Singh Sandhu

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