748 results match your criteria Percutaneous Cholecystostomy


Correction to: Outcomes Following Percutaneous Cholecystostomy Tube Placement for Acalculous Versus Calculous Cholecystitis.

World J Surg 2022 Jun 24. Epub 2022 Jun 24.

Department of Surgery, Division of Acute Care Surgery and Surgical Critical Care, Cedars-Sinai Medical Center, 8635 West 3rd Street, Suite 650W, Los Angeles, CA, 90048, USA.

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Acute cholangitis due to haemobilia complicating percutaneous cholecystostomy: First literature case report.

Int J Surg Case Rep 2022 Jun 8;96:107273. Epub 2022 Jun 8.

Department of General Surgery A, Hospital La Rabta, Tunis, Tunisia; University Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.

Background: Laparoscopic cholecystectomy is the standard treatment for acute cholecystitis. Cholecystostomy is a good option in patients with significant comorbidities. We report a case of a patient having had a percutaneous cholecystostomy for acute cholecystitis complicated with haemobilia and acute cholangitis. Read More

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Outcome of percutaneous drainage for septic complications coexisted with COVID-19.

World J Radiol 2022 Apr;14(4):91-103

Department of Radiology, Mansoura University, Mansoura 35516, Egypt.

Background: The resulting tissue hypoxia and increased inflammation secondary to severe coronavirus disease 2019 (COVID-19) combined with viral load, and other baseline risk factors contribute to an increased risk of severe sepsis or co-existed septic condition exaggeration.

Aim: To describe the clinical, radiological, and laboratory characteristics of a small cohort of patients infected by severe acute respiratory syndrome coronavirus 2 who underwent percutaneous drainage for septic complications and their post-procedural outcomes.

Methods: This retrospective study consisted of 11 patients who were confirmed to have COVID-19 by RT-PCR test and required drain placement for septic complications. Read More

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The Efficacy of Percutaneous Transhepatic Gallbladder Drainage Combined with Gallbladder-Preserving Cholecystolithotomy in High-Risk Patients with Acute Calculous Cholecystitis.

J Inflamm Res 2022 10;15:2901-2910. Epub 2022 May 10.

General Surgery Department, Beijing Rehabilitation Hospital of Capital Medical University, Beijing, 100144, People's Republic of China.

Objective: This study aimed to investigate the value of combining percutaneous transhepatic gallbladder drainage (PTGD) with gallbladder-preserving cholecystolithotomy (GPC) in high-risk patients with acute calculous cholecystitis.

Methods: Clinical data from 74 high-risk patients with acute calculous cholecystitis, admitted to our hospital between October 2018 and September 2021, were analyzed retrospectively. All the patients underwent PTGD, and 59 of them underwent delayed cholecystectomy, while 14 patients were subjected to GPC 8-12 weeks after the PTGD; one patient, whose life expectancy was fewer than 6 months, was not treated for gallstones after PTGD. Read More

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Should cholangiography be part of the management of every patient with percutaneous cholecystostomy?

Am J Surg 2022 Apr 29. Epub 2022 Apr 29.

Trauma Unit Shamir Medical Center Affiliated with University Tel Aviv, Zerefin, Israel. Electronic address:

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COVID-19 and Acute Cholecystitis Management: A Systematic Review of Current Literature.

Front Surg 2022 12;9:871685. Epub 2022 Apr 12.

Department of General, Laparoscopic, Oncologic and Robotic Surgery, Athens Medical Center, Athens, Greece.

Introduction: Since the beginning of the COVID-19 pandemic, many patients with clinically acute presentations have been approached differently. The fear of viral transmission along with the short period of study made patients delay their hospital visits and doctors reassess the approach of certain acute situations. This study aimed to assess the changes in the management of patients with acute cholecystitis before and during COVID-19. Read More

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Novel Iatrogenic Cause of Cholecystogastric Fistula.

Cureus 2022 Mar 27;14(3):e23531. Epub 2022 Mar 27.

Gastroenterology, Cooper University Hospital, Camden, USA.

Cholecystogastric fistula (CGF) is a rare, abnormal communication between the gallbladder and the stomach that can be identified on abdominal computed tomography (CT) and confirmed via endoscopy. CGFs are not usually problematic. However, they can cause fatal complications. 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 (Engl Ed) 2022 May 26;100(5):281-287. Epub 2022 Apr 26.

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

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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Systematic review and meta-analysis of early vs late interval laparoscopic cholecystectomy following percutaneous cholecystostomy.

HPB (Oxford) 2022 Apr 6. Epub 2022 Apr 6.

Department of Surgery, University of Cambridge, Cambridge, UK.

Background: High risk surgical patients with acute cholecystitis are commonly treated with percutaneous cholecystostomy (PTC) drainage. The optimal timing of subsequent interval laparoscopic cholecystectomy (LC) remains unclear.

Methods: Medline, EMBASE, and Scopus were searched to identify studies published between 01/01/2000 and 31/12/2020, reporting on interval LC outcomes in patients initially treated by PTC. Read More

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Outcomes Following Percutaneous Cholecystostomy Tube Placement for Acalculous Versus Calculous Cholecystitis.

World J Surg 2022 Apr 16. Epub 2022 Apr 16.

Department of Surgery, Division of Acute Care Surgery and Surgical Critical Care, Cedars-Sinai Medical Center, 8635 West 3rd Street, Suite 650W, Los Angeles, CA, 90048, USA.

Background: Acute acalculous cholecystitis (AAC) is often diagnosed in critically ill patients. Percutaneous cholecystostomy tube (PCT) placement facilitates less invasive gallbladder decompression in patients who are poor surgical candidates. Specific guidelines for optimal management of AAC patients following PCT placement remain to be defined. Read More

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Use of percutaneous cholecystostomy for complicated acute lithiasic cholecystitis: solving or deferring the problem?

Pol Przegl Chir 2021 Oct;93(0):7-12

Vascular Surgery Fellow, Department of Vascular Surgery, General University Hospital of Patras, Rio, Greece.

<b>Introduction:</b> Percutaneous cholecystostomies are not infrequently used as an adjunct in the treatment of severe lithiasic cholecystitis, particularly in unstable and comorbid patients. However, their out of proportion liberal use tends to substitute the performance of emergency cholecystectomy, which the definitive treatment. </br></br> <b>Aim:</b> Our aim was to assess the short and long-term outcomes of patients who had percutaneous cholecystostomy insertion due to severe lithiasic cholecystitis, aiming to define areas for improvement of our institutional practice. Read More

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October 2021

Value of nonenhanced CT combined with laboratory examinations in the diagnosis of acute suppurative cholecystitis treated with percutaneous cholecystostomy: a retrospective study.

BMC Gastroenterol 2022 Mar 29;22(1):155. Epub 2022 Mar 29.

Department of Nuclear Medicine, The People's Hospital of Liaoning Province, 33 Wenyi Road, Shenhe District, Shenyang, 110016, China.

Purposes: In this study, we aimed to identify the distribution of presenting laboratory and nonenhanced computed tomography (CT) imaging features within 48 h before percutaneous cholecystostomy (PC) and create a model to appropriately guide the diagnosis of acute suppurative cholecystitis (ASC).

Methods: The study population included 204 acute cholecystitis patients who underwent PC. Based on the timing of the last laboratory and CT examinations before PC, the patients were divided into two groups: within 48 h before PC (Group 1, n = 138) and over 48 h before PC (Group 2, n = 63). Read More

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Utilizing Percutaneous Cholecystostomy Tube as a Temporary Minimally Invasive Approach for Acute Cholecystitis during Third Trimester of a High-Risk Pregnancy.

Case Rep Gastroenterol 2022 Jan-Apr;16(1):49-54. Epub 2022 Feb 14.

Department of Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan, USA.

Laparoscopic cholecystectomy (LC) is the treatment modality of choice for symptomatic cholelithiasis and cholecystitis during pregnancy and is associated with shorter length of stay, shorter operative times, and fewer complications compared to open cholecystectomy. However, in high-risk pregnant patients, LC can be challenging. Percutaneous cholecystostomy tube (PCT) offers a temporary management option during the peripartum period until interval LC is performed. Read More

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February 2022

Effect of Preserving the Percutaneous Gallbladder Drainage Tube Before Laparoscopic Cholecystectomy on Surgical Outcome: Post Hoc Analysis of the CSGO-HBP-017.

J Gastrointest Surg 2022 06 21;26(6):1224-1232. Epub 2022 Mar 21.

Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka E-2, Suita, Osaka, 565-0871, Japan.

Background: When percutaneous transhepatic gallbladder drainage (PTGBD) is followed by laparoscopic cholecystectomy (LC), there is no consensus regarding whether the drainage tube should be preserved or removed before LC. We hypothesized that the surgical results of LC might differ between cases with PTGBD tube preservation versus removal. Here, we investigated how drainage tube preservation or removal affected the surgical outcome of LC. Read More

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Timing of cholecystectomy following cholecystostomy tube placement for acute cholecystitis: a retrospective study aiming to identify the optimal timing between a percutaneous cholecystostomy and cholecystectomy to reduce the number of poor surgical outcomes.

Surg Endosc 2022 Mar 21. Epub 2022 Mar 21.

Department of Surgery, Stony Brook Medicine, Stony Brook, NY, USA.

Objective: Our study aims to identify the optimal timing between a percutaneous cholecystostomy (PC) and cholecystectomy to reduce the number of poor surgical outcomes.

Background: Biliary disease is a common surgical disease and laparoscopic cholecystectomy is the preferred strategy for the management of acute cholecystitis. However, in high-risk surgical patients, a PC tube may be placed instead. Read More

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Acute Cholecystitis: A Review.

JAMA 2022 Mar;327(10):965-975

Department of Surgery, School of Medicine, University of North Carolina, Chapel Hill.

Importance: Gallbladder disease affects approximately 20 million people in the US. Acute cholecystitis is diagnosed in approximately 200 000 people in the US each year.

Observations: Gallstone-associated cystic duct obstruction is responsible for 90% to 95% of the cases of acute cholecystitis. Read More

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Laparoscopic Cholecystectomy Versus Percutaneous Cholecystostomy: Suitability of APACHE-II Score, ASA Grade, and Tokyo Guidelines 18 Grade as Predictors of Outcome in Patients With Acute Cholecystitis.

Surg Laparosc Endosc Percutan Tech 2022 Jun 1;32(3):342-349. Epub 2022 Jun 1.

Department of Pancreaticobiliary and Advanced Laparoscopic Surgery.

Introduction: Intervention options in acute cholecystitis (AC) include drainage (percutaneous/endoscopic) or surgery. Several scoring systems have been used to risk stratify acute surgical patients, but few have been validated. This study investigated the suitability of Acute Physiology and Chronic Health Evaluation II (APACHE-II) score, American Society of Anesthesiologist (ASA) grade, and Tokyo Guidelines 2018 (TG18) grade as predictors of outcome and assess laparoscopic cholecystectomy versus percutaneous cholecystostomy (PC) as treatment options in patients with AC. Read More

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What's new in the hot gallbladder: the evolving radiologic diagnosis and management of acute cholecystitis.

Abdom Radiol (NY) 2022 Mar 1. Epub 2022 Mar 1.

Department of Radiology, Faculty of Medicine, University of British Columbia, 2775 Laurel Street 11th Floor, Vancouver, V5Z 1M9, Canada.

Acute cholecystitis (AC) is a common condition and its incidence is rising. New technologies have advanced the imaging diagnosis of AC, providing more structural and functional information as well as allowing the radiologist to distinguish AC from mimics and identify complications from both the disease and its management. Dual energy CT aids in detecting gallstones and gallbladder wall enhancement, which helps to diagnose AC and identify its complications. Read More

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What makes acute cholecystitis recur after removing the percutaneous cholecystostomy tube?

Medicine (Baltimore) 2022 Feb;101(5):e28767

School of Medicine, Kyungpook National University, Daegu, the Republic of Korea.

Abstract: Percutaneous transhepatic gallbladder drainage (PTGBD) is an alternative treatment option for acute cholecystitis. However, the disease may recur after PTGBD catheter removal. This study aimed to evaluate the role of endoscopic sphincterotomy and other risk factors in reducing the recurrence of cholecystitis. Read More

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February 2022

Percutaneous Cholecystostomy for Acute Cholecystitis: A Three-Year Single-Centre Experience Including During COVID-19.

Cureus 2021 Dec 13;13(12):e20385. Epub 2021 Dec 13.

General Surgery, Mid and South Essex NHS Foundation Trust, Basildon, GBR.

Introduction Percutaneous cholecystostomy is a recognised treatment modality for acute cholecystitis. Traditionally, its use was reserved for patients deemed unfit for surgery. However, the coronavirus disease 2019 (COVID-19) pandemic had a detrimental effect on both elective and emergency surgery. Read More

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December 2021

Acute Cholecystitis Presenting With Septic Shock as the First Presentation in an Elderly Patient.

Cureus 2022 Jan 6;14(1):e20981. Epub 2022 Jan 6.

Medicine, King Faisal University, Al Ahsa, SAU.

Gangrenous cholecystitis (GC), a severe complication of acute cholecystitis, is associated with higher morbidity and mortality rates than uncomplicated cholecystitis. In this report, we present the case of an 81-year-old female with diabetes mellitus and hypertension who presented in the emergency department complaining of severe generalized abdominal pain for 10 days. The pain was associated with nausea and vomiting. Read More

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January 2022

Timing of Percutaneous Cholecystostomy.

J Coll Physicians Surg Pak 2022 Jan;32(1):20-24

Deparmant of Gastroenterolgical Surgery, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, Turkey.

Objective: To investigate the effect of the timing of Percutaneous Cholecystostomy (PC) on morbidity and mortality.

Study Design: Comparative cross-sectional study.

Place And Duration Of Study: Deparmant of Gastroenterological Surgery, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, Turkey from 2017 to 2020. Read More

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January 2022

Percutaneous cholecystostomy as a definitive treatment for moderate and severe acute acalculous cholecystitis: a retrospective observational study.

BMC Surg 2021 Dec 27;21(1):439. Epub 2021 Dec 27.

Department of Nuclear Medicine, The People's Hospital of Liaoning Province, 33 Wenyi Road, Shenhe District, Shenyang, 110016, China.

Background: In this study, we aimed to investigate risk factors for the relapse of moderate and severe acute acalculous cholecystitis (AAC) patients after initial percutaneous cholecystostomy (PC) and to identify the predictors of patient outcomes when choosing PC as a definitive treatment for AAC.

Materials And Methods: The study population comprised 44 patients (median age 76 years; range 31-94 years) with moderate or severe AAC who underwent PC without subsequent cholecystectomy. According to the results of follow-up (followed for a median period of 17 months), the data of patients with recurrence versus no recurrence were compared. Read More

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December 2021

When to remove the drainage catheter in patients with percutaneous cholecystostomy?

Rev Assoc Med Bras (1992) 2022 Jan;68(1):77-81

Haydarpasa Numune Training and Research Hospital, Department of General Surgery - Istanbul, Turkey.

Objective: The treatment for patients with acute calculous cholecystitis who have high surgical risk with percutaneous cholecystostomy instead of surgery is an appropriate alternative choice. The aim of this study was to examine the promising percutaneous cholecystostomy intervention to share our experiences about the duration of catheter that has yet to be determined.

Methods: A total of 163 patients diagnosed with acute calculous cholecystitis and treated with percutaneous cholecystostomy between January 2011 and July 2020 were reviewed retrospectively. Read More

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January 2022

Percutaneous cholecystostomy: An update for the 2020s.

North Clin Istanb 2021 6;8(5):537-542. Epub 2021 Oct 6.

Department of Radiology, University of Health Sciences, Istanbul Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.

Cholecystectomy is the standard treatment of acute cholecystitis. Surgery, however, poses significant risks for patients with advanced age and/or comorbid conditions. For such patients, percutaneous cholecystostomy (PC) is the only option. Read More

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October 2021

Ultimate outcomes of three modalities for non-surgical gallbladder drainage in acute cholecystitis with or without concomitant common bile duct stones.

Ann Hepatobiliary Pancreat Surg 2022 Feb;26(1):104-112

Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand.

Backgrounds/aims: In moderate and high-surgical risk patients with acute cholecystitis, studies comparing percutaneous cholecystostomy (PC) vs. endoscopic transpapillary gallbladder stenting (ETGS) vs. endoscopic ultrasound-guided transmural gallbladder stenting (EUGS) are limited. Read More

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February 2022

Minimally Invasive Management of Acute Cholecystitis and Frailty Assessment in Geriatric Patients.

Surg Laparosc Endosc Percutan Tech 2021 Dec 9;32(1):119-123. Epub 2021 Dec 9.

Departments of General Surgery.

The aim was to compare laparoscopic cholecystectomy (LC) with the percutaneous cholecystostomy (PC) for the management of acute lithiasic cholecystitis in geriatric patients and investigate the decision-making using frailty assessment. A retrospective analysis was performed in all patients aged over 65 years who were treated for acute cholecystitis at our hospital in a period of 5 years. Patients were divided in LC and PC groups. Read More

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December 2021

Persistent acute cholecystitis after cholecystostomy - increased mortality due to treatment approach?

HPB (Oxford) 2022 Jun 14;24(6):963-973. Epub 2021 Nov 14.

Clarunis, University Centre for Gastrointestinal and Liver Diseases, Postfach, 4002, Basel, Switzerland. Electronic address:

Background: Percutaneous cholecystostomy (PC) is a treatment option for acute cholecystitis (AC) in cases where cholecystectomy (CCY) is not feasible due to limited health conditions. The use of PC remains questionable. The aim was to retrospectively analyse the outcome of patients after PC. Read More

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[Successful treatment of liver failure caused by fatal amanita poisoning with percutaneous cholecystostomy: a case report].

Zhonghua Gan Zang Bing Za Zhi 2020 Dec;28(12):1052-1054

Department of Infectious Diseases and Hepatic Diseases, the First People's Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, Kunming 650032, China.

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December 2020

The Bad Gallbladder.

Surg Clin North Am 2021 Dec 7;101(6):1053-1065. Epub 2021 Sep 7.

Texas Tech University Health Sciences Center, Department of Surgery, 3601 4th Street, Lubbock, TX 79430, USA.

Laparoscopic cholecystectomy is a common operation; approximately 20 million Americans have gallstones, the most common indication. Surgeons who operate on the biliary tree must be familiar with the presentations and treatment options for acute and chronic biliary pathology. We focus on the difficult "bad" gallbladder. Read More

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December 2021