
Journal Basic Info
- Impact Factor: 2.466**
- H-Index: 6
- ISSN: 2637-4625
- DOI: 10.25107/2637-4625
Major Scope
- Gynecological Surgery
- Ophthalmology
- Cancer Surgery
- Robotic Surgery
- Urological Surgery
- Gastroenterological Surgery
- Colorectal Surgery
- Obstetrics & Gynecology
Abstract
Citation: World J Surg Surg Res. 2019;2(1):1125.DOI: 10.25107/2637-4625.1125
Percutaneous Cholecystostomy and the Prognosis of Patients with Acute Cholecystitis
Eyal Leibovitz, Lia Shibanov and Mordechai Shimonov
Department of Internal Medicine "A", Yoseftal Hospital, Israel
Department of Surgery "A", Wolfson Medical Center, Israel
Sackler School of Medicine, Tel Aviv University, Israel
*Correspondance to: Mordechai Shimonov
PDF Full Text Research Article | Open Access
Abstract:
Our objective was to examine outcomes of Percutaneous Cholecystostomy (PC) in patients hospitalized for acute cholecystitis. We compared clinical profiles, length of hospital stay and survival between patients with acute calculus cholecystitis who did (n=50) and did not (n=633) undergo percutaneous cholecystostomy. Those who underwent PC were older and with a poorer clinical profile; and their 30-day and 1-year mortality rates were higher (10% vs. 0.9%, and 20% vs. 4.9%, respectively, p<0.001 for both). In a logistic regression model, PC status was associated with increased 30-day mortality (OR 3.32, 95% CI 0.82-13.43, p=0.09) after adjustment for age, sex, American Society of Anesthesiologists score, disease severity index and cholecystectomy. The most deleterious effect on hospital stay was observed among patients with moderately severe disease. Percutaneous cholecystostomy should be offered only to very high-risk patients. In patients unresponsive to conservative treatment with moderately severe disease, laparoscopic cholecystectomy is the preferred treatment
Keywords:
Acute cholecystitis; Percutaneous cholecystostomy; Hospitalization; Mortality
Cite the Article:
Leibovitz E, Shibanov L, Shimonov M. Percutaneous Cholecystostomy and the Prognosis of Patients with Acute Cholecystitis. World J Surg Surgical Res. 2019; 2: 1125.