The optimal timing of interval laparoscopic cholecystectomy following percutaneous cholecystostomy based on pathological findings and the incidence of biliary events
| Autor: | Chun-Nan Yeh, Tse-Ching Chen, Shang-Yu Wang, Yi-Yin Jan, Huan-Wu Chen, Yu-Liang Hung, Chang-Mu Sung, Chun-Yi Tsai, Jun-Te Hsu, Ta-Sen Yeh |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Cholecystitis Acute Gastroenterology Internal medicine medicine Humans Cumulative incidence Cholecystostomy Pathological Retrospective Studies Hepatology business.industry Incidence Gallbladder Incidence (epidemiology) Perioperative medicine.disease Treatment Outcome medicine.anatomical_structure Cholecystectomy Laparoscopic Cholecystitis Surgery Cholecystectomy business |
| Zdroj: | Journal of Hepato-Biliary-Pancreatic Sciences. 28:751-759 |
| ISSN: | 1868-6982 1868-6974 |
| DOI: | 10.1002/jhbp.1012 |
| Popis: | 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. METHODS All 744 AC patients with PC were included. The incidence and median number of BE were investigated with the concept of competing risks. The 344 patients with interval LC were divided into two groups based on the pathological findings of resected gallbladders: the acute/acute-and-chronic group (AANC group) (n = 221) and the chronic group (n = 123). A comparative analysis of the demographic data and perioperative outcomes was performed. RESULTS Among the 744 AC patients with PC, 142 patients experienced recurrent BE. The cumulative incidence of BE was 26.6%, and the median time to recurrence was 67.5 days. The PC-to-LC days of the chronic group were longer than those of the AANC group (73.51 vs 63.00, P |
| Databáze: | OpenAIRE |
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