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Background The Tokyo Guidelines 2018 recommend early laparoscopic cholecystectomy (Lap-C) for patients with acute cholecystitis (AC). We evaluated the validity of endoscopic transpapillary gallbladder drainage (ETGBD) as a bridging therapy prior to elective Lap-C. Methods We performed a retrospective cohort analysis using data from our hospital records from 2018 to 2021. In total, 71 ETGBD procedures were performed in 61 patients with AC. Results The technical success rate was 85.9%. Patients in the failure group had more complicated branching of the cystic duct. The length of time until feeding was started, length of time until the white blood cell count normalized, and length of hospital stay were significantly shorter in the success group. The median waiting period for surgery was 39 days in the ETGBD success group. The median operating time, amount of bleeding, and length of postoperative hospital stay were 134 min, 83.2 g, and 4 days, respectively. In patients who underwent Lap-C, the waiting period for surgery and the operating time were similar between the ETGBD success and failure groups. However, the temporary discharge period after drainage and the length of postoperative hospital stay were significantly longer in the ETGBD failure group. Patients who did not undergo Lap-C tended to have a higher American Society of Anesthesiologists physical status classification and Charlson comorbidity index score. ConclusionsETGBD has equivalent efficacy prior to elective Lap-C despite some challenges that lower its success rate. Perioperative ETGBD can improve patients’ quality of life by eliminating the need for a drainage tube. |
