scholarly journals New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage

2021 ◽  
Author(s):  
Michinori Matsumoto ◽  
Kyohei Abe ◽  
Yasuro Futagawa ◽  
Kenei Furukawa ◽  
Koichiro Haruki ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Scoring System ◽  
Gallbladder Drainage ◽  
Percutaneous Transhepatic Gallbladder Drainage ◽  
Surgical Difficulty ◽  
New Scoring

Percutaneous Transhepatic Gallbladder Drainage Combined with Laparoscopic Cholecystectomy versus Emergency Laparoscopic Cholecystectomy in Acute Complicated Cholecystitis: Comparison of Curative Efficacy

2018 ◽  
Vol 84 (3) ◽  
pp. 438-442 ◽  
Author(s):  
Baoxing Jia ◽  
Kai Liu ◽  
Ludong Tan ◽  
Zhe Jin ◽  
Yahui Liu
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Oral Intake ◽  
Study Groups ◽  
Curative Effect ◽  
Gallbladder Drainage ◽  
Conversion To Open Surgery ◽  
Peritoneal Drainage ◽  
Final Treatment ◽  
Percutaneous Transhepatic Gallbladder Drainage ◽  
Baseline Characteristics

Controversy exists on the suitability of laparoscopic cholecystectomy (LC) in acute cholecystitis, especially in patients with severe comorbidities. Recently, many nonsurgical departments have indicated a preference for percutaneous transhepatic gallbladder drainage (PTGBD), but surgeons consider LC as the final treatment option for cholecystitis. This analysis evaluated the curative efficacy of PTGBD in combination with LC as compared with emergency LC (e-LC). We retrospectively analyzed clinical data of 86 patients with acute complicated cholecystitis. Patients were divided into two groups as those who received e-LC and those who underwent PTGBD combined with LC (PTGBD1LC), and baseline characteristics, perioperative data, and operative parameters were compared to check for intergroup differences. Baseline characteristics were similar for the study groups. However, although the operating duration ( P = 0.12) and postoperative hospital stay ( P = 0.39) did not evidence significant differences, the PTGBD1LC group had significantly better outcomes than the e-LC group with regard to blood loss ( P < 0.05), peritoneal drainage duration ( P < 0.05), and time to postoperative resumption of oral intake ( P < 0.05). Moreover, conversion to open surgery, complications during LC, and mortality rate were all higher in the e-LC group. PTGBD combined with LC is an effective treatment for acute complicated cholecystitis, especially in elderly patients or those with serious comorbidities. To some extent, the curative effect of this method can be considered superior to that of emergency LC.

Sign in / Sign up

Export Citation Format

Share Document