751 results match your criteria cholecystostomy cholecystectomy


The optimal timing of interval laparoscopic cholecystectomy following percutaneous cholecystostomy based on pathological findings and the incidence of biliary events.

J Hepatobiliary Pancreat Sci 2021 Jun 15. Epub 2021 Jun 15.

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

Background: The incidence of biliary events (BE) following percutaneous cholecystostomy (PC) in acute cholecystitis (AC) patients is high. Therefore, definitive laparoscopic cholecystectomy (LC) is recommended. We aimed to investigate the optimal timing of LC following PC with regard to the clinical course and pathological findings. Read More

View Article and Full-Text PDF

Clinical implication of bactibilia in moderate to severe acute cholecystitis undergone cholecystostomy following cholecystectomy.

Sci Rep 2021 Jun 4;11(1):11864. Epub 2021 Jun 4.

Department of Surgery, Yeoiudo St. Mary's Hospital, The Catholic University of Korea College of Medicine, #10,63-ro,Yeongdengpo-gu, Seoul, 07345, South Korea.

There is little evidence of clinical outcome in using antibiotics during the perioperative phase of acute cholecystitis with bactibilia. The aim of current study is to examine the effect of bactibilia on patients with acute cholecystitis and their perioperative clinical outcome. We performed a retrospective cohort analysis of 128 patients who underwent cholecystectomy for acute cholecystitis with moderate and severe grade. Read More

View Article and Full-Text PDF

Patterns of care after cholecystostomy tube placement.

Surg Endosc 2021 Jun 2. Epub 2021 Jun 2.

Department of Surgery, Surgical Outcomes Research Center, University of Washington, 1107 NE 45th Street, Suite 502, UW Box 354808, Seattle, WA, 98105, USA.

Background: The use of cholecystostomy (c-tube) in acute cholecystitis (AC) has increased yet there is limited evidence to guide surgical decision-making after placement. As a result, there is variability in the use and timing of cholecystectomy after c-tube. We aimed to describe patient characteristics, outcomes, and biliary-related utilization in those who did and did not have cholecystectomy after c-tube. Read More

View Article and Full-Text PDF

How correct is the postponed cholecystectomy during the coronavirus disease-19 pandemic process? Gallstone ileus is not a myth anymore.

Cir Cir 2021 ;89(3):390-393

Department of General Surgery, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, Turkey.

Posponer cirugías electivas durante el proceso pandémico de Covid-19 aumentó el riesgo de complicaciones graves de enfermedades benignas. El íleo biliar es una de las raras complicaciones de la colelitiasis (0,3-0,5%). Los episodios recurrentes de colecistitis aguda están involucrados en la fisiopatología. Read More

View Article and Full-Text PDF

[National survey on the treatment of cholelitiasis in Spain during the initial period of the COVID-19 pandemic].

Cir Esp 2021 May 19;99(5):346-353. Epub 2020 Jul 19.

Servicio de Cirugía, Hospital Universitario de Guadalajara, Guadalajara, España.

Introduction: The extraordinary impact of COVID-19 pandemic on Spanish hospitals has led to a redistribution of resources for the treatment of these patients, with a decreased capacity of care for other common diseases. The aim of the present study is to analyse how this situation has affected the treatment of cholecystitis and cholelythiasis.

Methods: It is a descriptive national study after online voluntary distribution of a specific questionnaire with Google Drive™ to members of the Spanish Association of Surgeons (AEC). Read More

View Article and Full-Text PDF

Image-guided percutaneous cholecystostomy: a comprehensive review.

Ir J Med Sci 2021 May 22. Epub 2021 May 22.

Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Acute cholecystitis (AC) is a common emergency condition with severity ranging from mild to severe. Gallstones and critical illnesses are the common predisposing factors. Mild AC is primarily managed with medical therapy and early cholecystectomy. Read More

View Article and Full-Text PDF

Percutaneous cholecystostomy versus emergency cholecystectomy for the treatment of acute calculous cholecystitis in high-risk surgical patients: a meta-analysis and systematic review.

Updates Surg 2021 May 15. Epub 2021 May 15.

Department of Gastrointestinal Surgery, Changzheng Hospital, Naval Medical University, Shanghai, China.

The present meta-analysis was performed to compare the efficacy and safety of percutaneous cholecystostomy (PC) versus emergency cholecystectomy (EC) for the treatment of acute calculous cholecystitis (ACC) in high-risk surgical patients. Literature searches for eligible studies were performed using MEDLINE, EMBASE and the Cochrane Library. Quality assessment was conducted in each study. Read More

View Article and Full-Text PDF

Mortality risk estimation in acute calculous cholecystitis: beyond the Tokyo Guidelines.

World J Emerg Surg 2021 May 11;16(1):24. Epub 2021 May 11.

Department of Surgery, Autonomous University of Barcelona, Passeig Marítim de la Barceloneta, 25-29, 08003, Barcelona, Spain.

Background: Acute calculous cholecystitis (ACC) is the second most frequent surgical condition in emergency departments. The recommended treatment is the early laparoscopic cholecystectomy; however, the Tokyo Guidelines (TG) advocate for different initial treatments in some subgroups of patients without a strong evidence that all patients will benefit from them. There is no clear consensus in the literature about who is the unfit patient for surgical treatment. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

Cir Esp (Engl Ed) 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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

AJR Am J Roentgenol 2021 06 21;216(6):1558-1565. 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

View Article and Full-Text PDF

Surgical Management of Feline Extrahepatic Biliary Tract Diseases.

Top Companion Anim Med 2021 Apr 20;44:100534. Epub 2021 Apr 20.

Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece. Electronic address:

Extrahepatic biliary obstruction occurs infrequently in cats. Pathophysiology of biliary obstruction is characterized by cholestasis, obstruction, inflammation, and exudation. Clinical signs and laboratory examination findings are nonspecific. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Endoscopic transpapillary gallbladder drainage for management of acute cholecystitis with coagulopathy.

J Int Med Res 2021 Mar;49(3):300060521996912

Department of Urology, Lanzhou University Second Hospital, Lanzhou, Gansu, China.

Acute cholecystitis is a common and frequently occurring disease, and laparoscopic cholecystectomy is the preferred treatment method. Percutaneous transhepatic gallbladder drainage is regarded as the first-line palliative procedure for elderly patients with poor cardiopulmonary function who cannot tolerate general anesthesia. However, for patients with acute cholecystitis who are undergoing treatment with oral antithrombotics or who have abnormal coagulation mechanisms, endoscopic transpapillary gallbladder drainage may be a good choice. Read More

View Article and Full-Text PDF

Outcomes of gallstone complications during the COVID pandemic.

Br J Surg 2021 01;108(1):e29-e30

Department of Hepatobiliary and Pancreatic Surgery, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK.

View Article and Full-Text PDF
January 2021

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF
February 2021

Litiasic acute cholecystitis: application of Tokyo Guidelines in severity grading.

Cir Cir 2021 ;89(1):12-21

Servicio de Cirugía General, Institut de Recerca Biomèdica de Lleida Fundació Dr. Pifarré (IRBLleida), Hospital Universitario Arnau de Vilanova, Lleida, España.

Background: Acute calculous cholecystitis (AC) is one of the most frequent surgical emergencies in our field. Laparoscopic cholecystectomy is considered the treatment of choice, although not sufficiently widespread.

Objective: To analyze the application of the Tokyo Guidelines in the management of AC and to determine the influence of the degree of severity on management and prognosis. Read More

View Article and Full-Text PDF
January 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

View Article and Full-Text PDF
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

View Article and Full-Text PDF
January 2021

Multicenter validation of the American Association for the Surgery of Trauma grading scale for acute cholecystitis.

J Trauma Acute Care Surg 2021 01;90(1):87-96

From the Department of Surgery (K.M.S., R.O.), Yale School of Medicine, New Haven, CT; Department of Surgery (M. Cripps, K.K., L.T.), University of Texas Southwestern School of Medicine, Dallas, TX; Department of Surgery (H.M.K., M.E.), Massachusetts General Hospital, Boston, MA; Department of Surgery (R.P., M. Crandall, J.M.), College of Medicine - Jacksonville, University of Florida, Jacksonville, FL; Department of Surgery (T.J.S., J.R.), UC Health, Colorado Springs, CO; Department of Surgery (D.C.C., L.M.C.), Marshfield Clinic, Marshfield, WI; Department of Surgery (T.M.E.), School of Medicine, University of Utah, Salt Lake City, UT; and Department of Surgery (R.S., B.Z.), Cooper Medical School of Rowan University, Camden, NJ.

Background: The American Association for the Surgery of Trauma (AAST) patient assessment committee has created grading systems for emergency general surgery diseases to assist with clinical decision making and risk adjustment during research. Single-institution studies have validated the cholecystitis grading system as associated with patient outcomes. Our aim was to validate the grading system in a multi-institutional fashion and compare it with the Parkland grade and Tokyo Guidelines for acute cholecystitis. Read More

View Article and Full-Text PDF
January 2021

Laparoscopic Subtotal Cholecystectomy for the Difficult Gallbladder: A Safe Alternative.

Isr Med Assoc J 2020 Sep;22(9):538-541

Department of Surgery and Transplantation B, Sheba Medical Center, Tel Hashomer, Israel.

Background: The safe completion of cholecystectomy is dependent on proper identification and secure closure of the cystic duct. Effecting this closure poses a great challenge when inflammatory changes obscure the anatomy. Subtotal cholecystectomy allows for near complete removal of the gallbladder and complete evacuation of the stones while avoiding dissection in the hazardous area. Read More

View Article and Full-Text PDF
September 2020

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

View Article and Full-Text PDF
October 2020

Endoscopic ultrasound-guided cholecystostomy for resection of gallbladder polyps with lumen-apposing metal stent.

Medicine (Baltimore) 2020 Oct;99(43):e22903

Department of Gastroenterology, Nanjing Drum Tower Hospital, Clinical College of Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China.

Laparoscopic cholecystectomy is the routine method to treat gallbladder polyps. Nowadays, endoscopic ultrasound (EUS)-guided cholecystostomy as a bridge for per-oral transmural endoscopic resection of gallbladder polyps is introduced because preservation of gallbladder is increasingly getting attention. The aim of our study was to evaluate the approach in the treatment of patients with gallbladder polyps and symptomatic gallstones. Read More

View Article and Full-Text PDF
October 2020

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

View Article and Full-Text PDF
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

View Article and Full-Text PDF
December 2020