What is the effect of percutaneous cholesistostomy in patients with acute cholecystitis? when is the right time for the procedure?

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dc.authoridSibic, Osman/0000-0002-7600-9154
dc.authoridKIZILDAG YIRGIN, inci/0000-0003-0563-5964
dc.authoridTopal, Ummihan/0000-0002-2316-2358
dc.authorwosidSibic, Osman/GVT-0751-2022
dc.contributor.authorYirgin, Hakan
dc.contributor.authorTopal, Uemmihan
dc.contributor.authorTatlidil, Yunusemre
dc.contributor.authorSibic, Osman
dc.contributor.authorYirgin, Inci Kizildag
dc.contributor.authorBozkurt, Mehmet Abdussamet
dc.date.accessioned2024-05-19T14:40:03Z
dc.date.available2024-05-19T14:40:03Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBACKGROUND: Acute cholecystitis (AC) is one of the most common emergency diseases in surgical practice. Although the gold standard treatment is laparoscopic cholecystectomy, percutaneous cholecystostomy (PC) is performed in some patients due to age, comorbidity, and delays in admission. We aimed to investigate the effect of timing on the clinical process of patients undergoing PC.METHODS: Patients who underwent PC between February 2017 and December 2021 were included in the study. Those who underwent PC in the first 72 h were determined as the early PC group, and those who underwent PC after 72 h were determined as the late PC group. Demographic information of the patients, clinical information before drainage, biochemical values of the first 3 days, length of hospital stay, morbidity and mortality in the early and late period after drainage, and elective cholecystectomy information were recorded. These data were compared between the two groups.RESULTS: One hundred and twenty-two patients were included in the study. Early PC was performed in 98 patients (80.3%) and late PC was performed in 24 patients (19.7%). The median follow-up period was 26.6 months (min:0.25-max:67) in the early PC group and 26.4 months (min:0.6-max:66) in the late PC group (P=0.408). There was no statistically significant difference in mean age, distribution of males and women, concomitant disease, Charlson Comorbidity Index, hepatopancreatobiliary pathology (HPBP), endoscopic retrograde cholangiopancreatography in history and grade (TG18) compared to Tokyo classification (P>0.05). There was no difference between the biochemical parameters (P>0.05). In our study, the median length of hospital stay was 6 (min:2-max:36) days in the early PC group, and the median was 9 days (min:5-max:20) in the late PC group (P<0.001). A total of 25 patients developed HPBP after PC, 16 of which were AC. There was no statistically significant difference between the early and late PC groups in terms of HPBP development after PC (P=0.576). There was no statistically significant difference between the early and late PC group in terms of the rate of surgery and type of operation (emergency/elective, open/laparoscopic/conversion, total/subtotal, duration) (P>0.05).CONCLUSION: Discussions about the right timing are ongoing. In our study, we found that patients who underwent early PC had shorter hospital stays. There was no difference between the early and late groups in terms of patient characteristics and severity of AC. PC procedure in AC should be based on algorithms determined by objective data instead of patient-based indications with randomized controlled trials.en_US
dc.identifier.doi10.14744/tjtes.2023.40090
dc.identifier.endpage1279en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue11en_US
dc.identifier.pmid37889032en_US
dc.identifier.scopus2-s2.0-85175272908en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1269en_US
dc.identifier.urihttps://doi.org10.14744/tjtes.2023.40090
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4897
dc.identifier.volume29en_US
dc.identifier.wosWOS:001096720400009en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.subjectCholecystectomy Laparoscopicen_US
dc.subjectCholecystitis Acuteen_US
dc.subjectCholecystostomy.en_US
dc.titleWhat is the effect of percutaneous cholesistostomy in patients with acute cholecystitis? when is the right time for the procedure?en_US
dc.typeArticleen_US

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