Risk factors affecting the success of percutaneous cholecystostomy treatment in high-risk patients with acute cholecystitis

Risk factors affecting the success of percutaneous cholecystostomy treatment in high-risk patients with acute cholecystitis

Aim: The aim of study was to examine the results of percutaneous cholecystostomy (PC) in high-risk patients with acute cholecystitis (AC). Material and Methods: In the retrospective study, records of patients with PC were examined. An American Society of Anesthesiologists (ASA) score was used for surgical risk. AC severity was evaluated according to Tokyo guidelines (TG) 18. TG 18 grade III, TG 18 grade II and I high surgical risk patients with AC were included in the study. Risk factors affecting the success of PC were investigated. Results: Seventy patients were included in the study. The median folllow-up time was eight (1-119) months. The clinical success rate of PC and rate of recurrence were 85.7% and 10.0%, respectively. PC catheter-related complications were occurred at four patients. The mortality rate was 14.3%. An ASA ≥ IV score (p=0.005), chronic obstructive pulmonary disease (p=0.04), elevation in total bilirubin (p=0.02), and duration of PC

___

  • 1. Wu XD, Tian X, Liu MM, et al. Meta-analysis comparing early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 2015;102:1302-13.
  • 2. Ambe PC, Weber SA, Christ H, et al. Primary cholecystectomy is feasible in elderly patients with acute cholecystitis. Aging Clin Exp Res 2015;27:921- 6.
  • 3. Fukami Y, Kurumiya Y, Mizuno K, et al. Cholecystectomy in octogenarians: be careful. Updates Surg 2014;66: 265-8.
  • 4. Winbladh A, Gullstrand P, Svanvik J, et al. Systematic review of cholecystostomy as a treatment option in acute cholecystitis. HPB (Oxford) 2009;11:183-93.
  • 5. Elsharif M, Forouzanfar A, Oaikhinan K, et al. Percutaneous cholecystostomy… why, when, what next? A systematic review of past decade. Ann R Coll Surg Engl 2018;100: 618-31.
  • 6. Tseng LJ, Tsai CC, Mo LR, et al. Palliative percutaneous transhepatic gallbladder drainage of gallbladder empyema before laparoscopic cholecystectomy. Hepatogastroenterology 2000;47:932-6.
  • 7. Stanek A, Dohan A, Barkun J, et al. Percutaneous cholecystostomy: A simple bridge to surgery or an alternative option for the management of acute cholecystitis? Am J Surg 2018;216:595-603.
  • 8. Overby DW, Apelgren KN, Richardson W, et al. Society of American Gastrointestinal and Endoscopic Surgeons. SAGES guidelines for the clinical applica¬tion of laparoscopic biliary tract surgery. Surg Endosc 2010; 24:2368-86.
  • 9. Mori Y, Itoi T, Baron TH, et al. Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018;25:87-95.
  • 10. Gurusamy KS, Rossi M, Davidson BR. Percutaneous cholecystostomy for high-risk surgical patients with acute calculous cholecystitis. Cochrane Database Syst Rev 2013;8:CD007088.
  • 11. Al-Jundi W, Cannon T, Antakia R, et al. Percutaneous cholecystostomy as an alternative to cholecystectomy in high risk patients with biliary sepsis: a district general hospital experience. Ann R Coll Surg Engl 2012;94:99-101.
  • 12. McKay A, Abulfaraj M, Lipschitz J. Short and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients. Surg Endosc 2012;26:1343-51.
  • 13. Kirkegård J, Horn T, Christensen SD, et al. Percutaneous cholecystostomy is an effective definitive treatment option for acute acalculous cholecystitis. Scand J Surg 2015;104:238-43.
  • 14. Park JK, Yang JI, Wi JW, et al. Long-term outcome and recurrence factors after percutaneous cholecystostomy as a definitive treatment for acute cholecystitis. J Gastroenterol Hepatol. 2019;34:784- 90.
  • 15. Ozyer U. Long-term results of percutaneous cholecystostomy for definitive treatment of acute acalculous cholecystitis : a 10-year single-center experience. Acta Gastroenterol Belg. 2018;81:393-7.
  • 16. Yokoe M, Hata J, Takada T, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018;25:41-54.
  • 17. Chung YH, Choi ER, Kim KM, et al. Can percutaneous cholecystostomy be a definitive management for acute acalculous cholecystitis? J Clin Gastroenterol 2012;46:216-9.
  • 18. Akyurek N, Salman B, Yuksel O, et al. Management of acute calculous cholecystitis in high-risk patients: percutaneous cholecystotomy followed by early laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech 2005;15:315-20.
  • 19. Macchini D, Degrate L, Oldani M, et al. Timing of percutaneous cholecystostomy tube removal: systematic review. Minerva Chir 2016;71:415-26.
  • 20. Wang CH, Wu CY, Yang JC, et al. Long-Term Outcomes of Patients with Acute Cholecystitis after Successful Percutaneous Cholecystostomy Treatment and the Risk Factors for Recurrence: A Decade Experience at a Single Center. PLoS One 2016;11: e0148017
  • 21. Li M, Li N, Ji W, et al. Percutaneous cholecystostomy is a definitive treatment for acute cholecystitis in elderly high-risk patients. Am Surg 2013;79:524-7.
  • 22. Anderson JE, Chang DC, Talamini MA. A nationwide examination of outcomes of percutaneous cholecystostomy compared with cholecystectomy for acute cholecystitis, 1998-2010. Surg Endosc 2013; 27:3406-11.
  • 23. Pang KW, Tan CH, Loh S, et al. Outcomes of Percutaneous Cholecystostomy for Acute Cholecystitis. World J Surg 2016;40:2735-44.
  • 24. Fleming MM, Liu F, Luo J, et al. Predictors of 30 Day Readmission Following Percutaneous Cholecystostomy. J Surg Res 2019;233:1-7.
  • 25. Bhatt MN, Ghio M, Sadri L, et al. Percutaneous Cholecystostomy in Acute Cholecystitis-Predictors of Recurrence and Interval Cholecystectomy. J Surg Res 2018;232:539-46.
  • 26. Smith TJ, Manske JG, Mathiason MA, et al. Changing trends and outcomes in the use of percutaneous cholecystostomy tubes for acute cholecystitis. Ann Surg 2013;257:1112-5.
  • 27. Tolan HK, Semiz Oysu A, Basak F, et al. Percutaneous cholecystostomy: A curative treatment modality forelderly and high ASA score acute cholecystitis patients. Ulus Travma Acil Cerrahi Derg 2017;23:34-8.
  • 28. Jang WS, Lim JU, Joo KR, et al. Outcome of conservative percutaneous cholecystostomy in highrisk patients with acute cholecystitis and risk factors leading to surgery. Surg Endosc 2015;29:2359-64.
  • 29. Hatjidakis AA, Karampekios S, Prassopoulos P, et al. Maturation of the tract after percutaneous cholecystostomy with regard to the Access route. Cardiovasc Intervent Radiol 1998;20:36-40.
  • 30. Hatzidakis AA, Prassopoulos P, Petinarakis I, et al. Acute cholecystitis in high-risk patients: percutaneous cholecystostomy vs conservative treatment. Eur Radiol 2002;12:1778-84.
  • 31. Hasbahceci M, Cengiz MB, Malya FU, et al. The impact of a percutaneous cholecystostomy catheter in situ until the time of cholecystectomy on the development of recurrent acute cholecystitis: a historical cohort study. Rev Esp Enferm Dig 2018;110:629-33.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

The effect of previous arthroscopic surgery on total knee arthroplasty outcomes and complication rates

Evren KARAALİ, Osman CİLOĞLU

Risk factors affecting the success of percutaneous cholecystostomy treatment in high-risk patients with acute cholecystitis

Mehmet Arif USTA, Serdar TÜRKYILMAZ, Ali GÜNER, Adnan ÇALIK, Serkan TAYAR, Mehmet ULUŞAHİN, Arif Burak ÇEKİÇ, Murat Emre REİS, Aydın AKTAŞ, Muhammet ATEŞ, Nazım AĞAOĞLU

Comparison of the sodium, potassium, chloride and glucose levels measured by a blood gas analyzer and an autoanalyzer

Kamile YÜCEL, Ömer KAYA

Knowledge, attitude and practice of health education students for stem cell donation and transplantation

Yasemin GÜMÜŞ ŞEKERCİ, Emine KIR BİÇER

Effects of adhesive system, thermal aging and ceramic shade on the final color and bond strength of monolithic lithium disilicate ceramics

Özge PARLAR ÖZ

Impact of vitamin D supplementation on the ocular surface in patients with vitamin d deficiency

Eşref ARAÇ, Hasan ÖNCÜL, Umut DAĞ, Mehmet ÇAĞLAYAN, Mehmet Fuat ALAKUŞ, Fatma YILMAZ ÖNCÜL

Does serum uric acid to high-density lipoprotein cholesterol ratio predict coronary slow flow?

İsa SİNCER, Yusuf ÇEKİCİ, Arafat YILDIRIM, Mustafa KAPLANGORAY, Mücahid YILMAZ

Does short-term montelukast treatment cause sleep problems or psychiatric problems in children? A preliminary study

Işıl ÇAKMAK KARAER, Yunus Emre DÖNMEZ

Retrospective evaluation of percutaneous tracheostomy cases performed by griggs method in intensive care unit

Gülçin PATMANO, Tuba BİNGÖL TANRIVERDİ, Firdevs Tuğba BOZKURT, Mehmet TERCAN

Great saphenous varicose vein treatment with endovenous ablation techniques: A comparison of EVLA and RF

Sedat Ozan KARAKİŞİ, Şaban ERGENE, Doğuş HEMŞİNLİ