CHOLECYSTOSTOMY VERSUS CHOLECYSTECTOMY

Tube Cholecystostomy Before Cholecystectomy for the Treatment of Acute Cholecystitis

BACKGROUND AND OBJECTIVES Percutaneous cholecystostomy is currently indicated for patients with cholecystitis who might be poor candidates for operative cholecystectomy. We performed a study to evaluate the long-term outcome of patients undergoing emergent tube cholecystostomy. METHODS This study was a retrospective chart review of patients who underwent tube cholecystostomy from July 1, 2005...

Bridge treatment for early cholecystectomy in geriatric patients with acute cholecystitis: Percutaneous cholecystostomy.

BACKGROUND The main cause of acute cholecystitis (AC) is gallstones, and the incidence of gallstones in elderly patients is high. METHODS In this study, we aimed to investigate the efficacy of percutaneous cholecystostomy (PC) before early cholecystectomy in geriatric patients with AC. This retrospective study included 85 patients undergoing laparoscopic or conventional cholecystectomy during...

Selective use of tube cholecystostomy with interval laparoscopic cholecystectomy in acute cholecystitis.

HYPOTHESIS Tube cholecystostomy followed by interval laparoscopic cholecystectomy is a sale and efficacious treatment option in critically ill patients with acute cholecystitis. DESIGN Retrospective cohort study within a 4 1/2%-year period. SETTING University hospital. PATIENTS Of 324 patients who underwent laparoscopic cholecystectomy, 65 (20%) had acute cholecystitis; 15 of these 65 pat...

Outcome comparison between percutaneous cholecystostomy and cholecystectomy: a 10-year population-based analysis

BACKGROUND Controversy surrounding the role of percutaneous cholecystostomy (PC) is fed by the absence of large amounts of data concerning its outcomes, and many authors have maintained that there is no evidence to support a recommendation for PC rather than cholecystectomy (CCS) in elderly or critically ill patients with acute cholecystitis (AC). METHODS We conducted this study by tracking t...

Mini-Incision Versus Laparoscopic Cholecystectomy