681 results match your criteria Percutaneous Cholecystostomy

Management of Patients With Acute Cholecystitis After Percutaneous Cholecystostomy: From the Acute Stage to Definitive Surgical Treatment.

Front Surg 2021 15;8:616320. Epub 2021 Apr 15.

Division of General Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Percutaneous cholecystostomy (PC) has become an important procedure for the treatment of acute cholecystitis (AC). PC is currently applied for patients who cannot undergo immediate laparoscopic cholecystectomy. However, the management following PC has not been well-reviewed. Read More

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

Cir Esp 2021 Apr 23. Epub 2021 Apr 23.

Unidad de Cirugía Hepato-Bilio-Pancreática, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitari Parc Taulí, Sabadell, Barcelona, España.

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. Read More

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Percutaneous cholecystostomy in the treatment of acute calculous cholecystitis in elderly patients with COVID-19 and high comorbidity.

Ulus Travma Acil Cerrahi Derg 2021 May;27(3):296-302

Department of General Surgery, Healts Sciences University, Bakirköy Dr. Sadi Konuk Training and Resarch Hospital, İstanbul-Turkey.

Background: The purpose of the study was to review the efficacy, safety, and outcomes of percutaneous cholecystostomy (PC) in elderly patients with acute calculous cholecystitis (ACC), high comorbidity, and COVID-19.

Methods: The hospital registry data were examined of patients aged >65 years who were diagnosed with ACC and COVID-19 between March 2020 and June 2020 and who underwent PC treatment in the interventional radiology unit.

Results: A total of 18 patients were diagnosed with ACC and COVID-19, then underwent PC. Read More

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Utilization and Outcomes of Cholecystostomy and Cholecystectomy in Patients Admitted With Acute Cholecystitis: A Nationwide Analysis.

AJR Am J Roentgenol 2021 Apr 21:1-8. Epub 2021 Apr 21.

Department of Radiology, Division of Interventional Radiology, Weill Cornell Medicine, 525 E 68th St, Payson 512, New York, NY 10065.

The purpose of this study was to report national utilization trends and outcomes after percutaneous cholecystostomy, cholecystectomy, or no intervention among patients admitted to hospitals with acute cholecystitis. The Nationwide Inpatient Sample was queried from 2005 to 2014. Admissions were identified and stratified into treatment groups of percutaneous cholecystostomy, cholecystectomy, and no intervention on the basis of International Classification of Diseases, 9th revision, codes. Read More

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The Bacteriology of Acute Cholecystitis: Comparison of Bile Cultures and Clinical Outcomes in Diabetic and Non-Diabetic Patients.

World J Surg 2021 Apr 15. Epub 2021 Apr 15.

Department of General Surgery B, Emek Medical Center, Yitzhak Rabin Boulevard 21, 1834111, Afula, Israel.

Background: Acute cholecystitis is one of the most common acute surgical diseases. Diabetic patients have been shown to have an increased risk for gallbladder disease, but the correlation between the severity of gallstone disease and diabetes is still debated. The aim of this study is to examine the possible difference in the disease process between patients with diabetes mellitus (DM) and those without. Read More

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Percutaneous transcystic removal of gallbladder and common bile duct stones: a narrative review.

Acta Radiol 2021 Apr 12:2841851211006915. Epub 2021 Apr 12.

Department of Upper GI Surgery, 6634University Hospitals Plymouth NHS Trust, Plymouth, UK.

The incidence of gallstone-related complications is rising, thus leading to increases in waiting list times for elective laparoscopic cholecystectomy (LC). Percutaneous cholecystostomy (PC) provides immediate biliary drainage and may be used as an emergency option in a critically unwell patient as a bridge to surgery, or as the management option of a patient who is not fit for surgery. However, a significant number of these patients may be readmitted after PC with recurrent acute cholecystitis or pancreatitis, leading to significant morbidity and mortality. Read More

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COVID-19 outbreak and acute cholecystitis in a Hub Hospital in Milan: wider indications for percutaneous cholecystostomy.

BMC Surg 2021 Apr 6;21(1):180. Epub 2021 Apr 6.

Unit of HepatoBilioPancreatic and Digestive Surgery, Department of Health Science, San Paolo Hospital, University of Milan, Via Di Rudinì 8, 20142, Milan, Italy.

Background: COVID-19 pandemic has impacted the Italian National Health Care system at many different levels, causing a complete reorganization of surgical wards. In this context, our study retrospectively analysed the management strategy for patients with acute cholecystitis.

Methods: We analysed all patients admitted to our Emergency Department for acute cholecystitis between February and April 2020 and we graded each case according to 2018 Tokyo Guidelines. Read More

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Healthcare Disparities in the Management of Acute Cholecystitis: Impact of Race, Gender, and Socioeconomic Factors on Cholecystectomy vs Percutaneous Cholecystostomy.

J Gastrointest Surg 2021 04 24;25(4):880-886. Epub 2021 Feb 24.

Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.

Background: While percutaneous cholecystostomy (PC) is a recommended treatment strategy in lieu of cholecystectomy (CCY) for acute cholecystitis among patients who may not be considered good surgical candidates, reports on disparities in treatment utilization remain limited. The aim of this study was to investigate the role of demographic, clinical, and socioeconomic factors in treatment of acute cholecystitis.

Methods: Patients with a diagnosis of acute cholecystitis who underwent CCY versus PC were reviewed from the U. Read More

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How to Predict Postoperative Complications After Early Laparoscopic Cholecystectomy for Acute Cholecystitis: the Chole-Risk Score.

J Gastrointest Surg 2021 Feb 24. Epub 2021 Feb 24.

HPB Unit, Department of General and Digestive Surgery, Hospital Universitario La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid (UAM), Diego de León Street, 62 - 4th Floor, 28006, Madrid, Spain.

Background: Early laparoscopic cholecystectomy (ELC) is the gold standard treatment for patients with acute calculous cholecystitis (ACC); however, it is still related to significant postoperative complications. The aim of this study is to identify factors associated with an increased risk of postoperative complications and develop a preoperative score able to predict them.

Methods: Multicentric retrospective analysis of 1868 patients with ACC submitted to ELC. Read More

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February 2021

Comparison and Selection of Three Methods of Minimally Invasive External Drainage for Children with Congenital Choledochal Cysts.

J Laparoendosc Adv Surg Tech A 2021 Apr 15;31(4):462-467. Epub 2021 Feb 15.

Department of Pediatric Surgery, Qilu Hospital, Shandong University, Jinan, China.

Emergent biliary drainage is necessary due to acute symptoms of choledochal cysts. Percutaneous biliary drainage (PBD), laparoscopic bile duct drainage (LBD), and laparoscopic cholecystostomy (LC) are the three most common drainage treatments. So far, there is no comparative study on these three approaches, which all have been applied in our hospital. Read More

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Thinking ahead: gallbladder intussusception following transperitoneal percutaneous cholecystostomy tube placement.

BMJ Case Rep 2021 Feb 9;14(2). Epub 2021 Feb 9.

The Division of Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore, Maryland, USA.

Percutaneous cholecystostomy (PC) is a common minimally invasive, image-guided procedure performed primarily on high-risk patients with acute cholecystitis for gallbladder decompression. Herein, we present a case of a patient undergoing PC placement using a transperitoneal approach. On subsequent upsizing attempts, the gallbladder fundus was found to invaginate during advancement of replacement drains, causing gallbladder intussusception. Read More

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February 2021

Clinical approach to patients admitted to the emergency room due to acute cholecystitis during the COVID-19 pandemic and percutaneous cholecystostomy experience.

Ulus Travma Acil Cerrahi Derg 2021 01;27(1):34-42

Department of General Surgery, Health Science University, İstanbul Fatih Sultan Mehmet Training and Research Hospital, İstanbul-Turkey.

Background: Acute cholecystitis (AC), a common complication of gallstones, is responsible for a significant part of emergency applications, and cholecystectomy is the only definitive treatment method for AC. Early cholecystectomy has many reported advantages. Operation-related morbidity and mortality have increased during the COVID-19 pandemic. Read More

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January 2021

Percutaneous cholecystostomy instead of laparoscopy to treat acute cholecystitis during the COVID-19 pandemic period: single center experience.

Ulus Travma Acil Cerrahi Derg 2021 01;27(1):89-94

Department of General Surgery, University of Health Sciences, Kanuni Sultan Suleyman Training and Research Hospital, İstanbul-Turkey.

Background: Laparoscopic cholecystectomy (LC) is the accepted standard treatment for acute cholecystitis (AC) in patients eligible for surgery. Percutaneous cholecystostomy (PC) can provide a permanent treatment for high-risk patients for surgery or act as a bridge for later surgical treatment. This study is an evaluation of the use of PC during the current coronavirus 2019 (COVID-19) pandemic at a single hospital. Read More

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January 2021

Alternative application of percutaneous cholecystostomy in patients with biliary obstruction.

Abdom Radiol (NY) 2021 Jan 2. Epub 2021 Jan 2.

Division of General Surgery, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan, 333, Taiwan.

Purpose: Percutaneous cholecystostomy (PC) is an important modality for acute cholecystitis and has been applied for other clinical scenarios as well. In the present study, we aimed to investigate an alternative use of PC for obstructive jaundice.

Methods: From January 2012 to December 2018, eligible subjects were selected from patients undergoing PC in our institute. Read More

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January 2021

Percutaneous Cholecystoduodenal Anastomosis for Internal Gallbladder Drainage Using a Lumen-Apposing Metal Stent.

J Vasc Interv Radiol 2021 01;32(1):142-143

University Health Network, University of Toronto, Toronto, Ontario, Canada; Institute of Image-Guided Surgery, Strasbourg, France. Electronic address:

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January 2021

All the World Is a Nail: Why Are Surgeons Resistant to Learn How to Place Cholecystostomy Drains in Seriously Ill Patients With Acute Acalculous Cholecystitis?

Jay Requarth

Am Surg 2020 Nov 20;86(11):1462-1466. Epub 2020 Nov 20.

Surgeons routinely provide palliative care, but often the technical procedure needed for the palliative intervention is beyond our training and comfort zone. This case is an example of surgical palliative care that utilizes image-guided techniques to provide optimal care. A frail elderly patient with multiple comorbidities who had been hospitalized for other diseases was diagnosed with acute acalculous cholecystitis. Read More

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November 2020

Gallbladder Cryoablation: A Novel Option for High-Risk Patients with Gallbladder Disease.

Am J Med 2021 03 9;134(3):326-331. Epub 2020 Nov 9.

Department of Medical Imaging, University of Arizona, Tucson. Electronic address:

Management of high-risk surgical patients with cholecystitis poses a significant clinical problem. These patients are often left with the options of permanent cholecystostomy tube drainage or high-risk surgery. Numerous attempts have been made over the past 4 decades to fulfill the need for a minimally invasive, definitive treatment option for such gallbladder disease. Read More

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Percutaneous cholecystostomy in the treatment of acute cholecystitis: is there still a role? A 20-year literature review.

Eur Rev Med Pharmacol Sci 2020 10;24(20):10696-10702

General and Minimally Invasive Surgery Unit, Cristo Re Hospital, Rome, Italy.

Objective: Percutaneous cholecystostomy (PC) is used for the treatment of acute cholecystitis in patients with high surgical risk due to the severity of cholecystitis and/or the underlying acute or chronic medical comorbidities. The evidence for this strategy is unclear.

Materials And Methods: We searched PubMed and the Cochrane databases for English-language studies published from January 1979 through December 31, 2019, for randomized clinical trials (RCTs), meta-analyses, systematic reviews, and observational studies. Read More

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October 2020

ERCP after percutaneous cholecystostomy: methylene blue-assisted biliary cannulation for diminutive papilla.

Gastrointest Endosc 2021 Apr 29;93(4):984-985. Epub 2020 Oct 29.

Department of Gastroenterology and Hepatology, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan, USA.

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Finding the Most Favorable Timing for Cholecystectomy after Percutaneous Cholecystostomy Tube Placement: An Analysis of Institutional and National Data.

J Am Coll Surg 2021 Jan 21;232(1):55-64. Epub 2020 Oct 21.

Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA; Sidney Kimmel Medical College, Philadelphia University and Thomas Jefferson University, Philadelphia, PA. Electronic address:

Background: Early cholecystectomy (E-CCY; 8 weeks or less) after percutaneous cholecystostomy tube (PCT) placement has been associated with increased postoperative complications, but this finding has not been validated at a national level and PCT-related complications and interventions (PCT-RCIs) were not evaluated.

Study Design: Adults with PCT for acute cholecystitis subsequently undergoing CCY were identified within the Nationwide Readmission Database (2010-2015) and our institution (2017-2019). Adjusted relative risks (aRRs) of postoperative complications were estimated using Poisson regression comparing E-CCY with delayed cholecystectomy (D-CCY; more than 8 weeks) within the nationwide cohort. Read More

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January 2021

Evaluation and management of the surgical abdomen.

Curr Opin Crit Care 2020 12;26(6):648-657

Department of Critical Care Medicine, University of British Columbia, Vancouver, British Columbia.

Purpose Of Review: The aim of this study was to describe important features of clinical examination for the surgical abdomen, relevant investigations, and acute management of common surgical problems in the critically ill.

Recent Findings: Lactate remains a relatively nonspecific marker of gut ischemia. Dual energy computed tomography (DECT) scan can improve diagnosis of bowel ischemia. Read More

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December 2020

Role of percutaneous cholecystostomy in all-comers with acute cholecystitis according to current guidelines in a general surgical unit.

Updates Surg 2021 Apr 15;73(2):473-480. Epub 2020 Oct 15.

General Surgery, "C. e G. Mazzoni" Hospital, ASUR Marche AV5, Via degli Iris snc, 63100, Ascoli Piceno, Italy.

Acute calculous cholecystitis (ACC) is a very common complication of gallstone-related disease. Its currently recommended management changes according to severity of disease and fitness for surgery. The aim of this observational study is to assess the short- and long-term outcomes in all-comers admitted with diagnosis of ACC, treated according to 2013 Tokyo Guidelines (TG13). Read More

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What is the Treatment Role of Transpapillary Cholecystostomy for Delayed Cholecystectomy in the Coexistence of Acute Cholecystitis and Cholangitis.

Surg Laparosc Endosc Percutan Tech 2020 Oct 12;31(1):71-75. Epub 2020 Oct 12.

Department of General Surgery, Bakirkoy Dr. Sadi Konuk Training and Research Hospital.

Introduction: This study aims to investigate the role of main bile duct drainage and gallbladder transpapillary drainage in the treatment of patients who diagnosed with acute cholecystitis and acute cholangitis because of choledocholithiasis.

Materials And Methods: Patients who were admitted to the hospital with the diagnosis of acute cholecystitis between January 2018 and December 2019, have hyperbilirubinemia in their laboratory tests, and who were diagnosed with choledochal stone by magnetic resonance imaging and magnetic resonance cholangiopancreatography imaging because of the findings of cholangitis were included in this study. These patients underwent endoscopic retrograde cholangiopancreatography (ERCP) and choledochus stone extraction procedure and gallbladder drainage with the transpapillary pigtail. Read More

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October 2020

Endoscopic transpapillary gallbladder drainage for the management of acute calculus cholecystitis patients unfit for urgent cholecystectomy.

PLoS One 2020 9;15(10):e0240219. Epub 2020 Oct 9.

Department of Internal Medicine, Wonkwang University College of Medicine and Hospital, Iksan, Republic of Korea.

Objectives: Endoscopic transpapillary gallbladder drainage (ETGBD) has been proposed as an alternative to surgery or percutaneous cholecystostomy in patients with acute calculus cholecystitis (ACC). We aimed to evaluate the safety and efficacy of ETGBD via endoscopic transpapillary gallbladder stenting (ETGBS) or endoscopic naso-gallbladder drainage (ENGBD) as either a bridging or a definitive treatment option for patients with ACC when a cholecystectomy is delayed or cannot be performed.

Methods: From July 2014 to December 2018, 171 patients with ACC in whom ETGBD were attempted were retrospectively reviewed. Read More

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December 2020

Impact of B-mode-ultrasound-guided transhepatic and transperitoneal cholecystostomy tube placement on laparoscopic cholecystectomy.

World J Gastroenterol 2020 Sep;26(36):5498-5507

Department of Hepatobiliary Surgery, The Sixth Medical Center of People's Liberation Army General Hospital, Beijing 100048, China.

Background: B-mode-ultrasound-guided percutaneous cholecystostomy (PC) may be performed by a transhepatic or transperitoneal approach, called percutaneous transhepatic gallbladder drainage (PHGD) and percutaneous transperitoneal gallbladder drainage (PPGD), respectively. We compared the impact of PC related to the route of catheter placement on subsequent laparoscopic cholecystectomy (LC).

Aim: To compare the impact of PC related to the route of catheter placement on subsequent LC. Read More

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September 2020

Society of Interventional Radiology Quality Improvement Standards for Percutaneous Cholecystostomy and Percutaneous Transhepatic Biliary Interventions.

J Vasc Interv Radiol 2020 11 1;31(11):1849-1856. Epub 2020 Oct 1.

Division of Interventional Radiology and Image-Guided Medicine, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.

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November 2020

Safety and Efficacy of Percutaneous Gallstone Extraction in High-Risk Patients: An Alternative to Cholecystectomy or Long-Term Drainage?

J Am Coll Surg 2021 Feb 30;232(2):195-201. Epub 2020 Sep 30.

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada; Division of Interventional Radiology, Joint Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: Acute cholecystitis in nonsurgical candidates is often managed with cholecystostomy tube drainage. After symptom resolution, management options include cholecystectomy, long-term tube drainage, or tube removal. Percutaneous cholecystolithotomy (PCCL) can offer another therapeutic option for patients who are poor operative candidates. Read More

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February 2021

The Cholangioscopy Expander: A Handmade Device to Improve Visualization and Minimize Mucosal Injury during Percutaneous Cholangioscopy.

J Vasc Interv Radiol 2020 11 22;31(11):1956-1958. Epub 2020 Sep 22.

Department of Vascular and Interventional Radiology, The Johns Hopkins School of Medicine, 601 N. Caroline St., Baltimore, MD 21205.

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November 2020