Early laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis

Abstract There is no consensus on the optimal timing of laparoscopic cholecystectomy (LC) after percutaneous transhepatic gallbladder drainage (PTGBD) for patients with acute cholecystitis (AC). We retrospectively evaluated patients who underwent LC after PTGBD between 1 February 2016 and 1 February...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Yunxiao Lyu, Ting Li, Bin Wang, Yunxiao Cheng
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3ac53112c9f24157a21f9f14bdbf44ce
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3ac53112c9f24157a21f9f14bdbf44ce
record_format	dspace
spelling	oai:doaj.org-article:3ac53112c9f24157a21f9f14bdbf44ce2021-12-02T13:57:25ZEarly laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis10.1038/s41598-021-82089-42045-2322https://doaj.org/article/3ac53112c9f24157a21f9f14bdbf44ce2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82089-4https://doaj.org/toc/2045-2322Abstract There is no consensus on the optimal timing of laparoscopic cholecystectomy (LC) after percutaneous transhepatic gallbladder drainage (PTGBD) for patients with acute cholecystitis (AC). We retrospectively evaluated patients who underwent LC after PTGBD between 1 February 2016 and 1 February 2020. We divided patients into three groups according to the interval time between PTGBD and LC as follows: Group I (within 1 week), (Group II, 1 week to 1 month), and Group III (> 1 month) and analyzed patients’ perioperative outcomes. We enrolled 100 patients in this study (Group I, n = 22; Group II, n = 30; Group III, n = 48). We found no significant difference between the groups regarding patients’ baseline characteristics and no significant difference regarding operation time and estimated blood loss (p = 0.69, p = 0.26, respectively). The incidence of conversion to open cholecystectomy was similar in the three groups (p = 0.37), and we found no significant difference regarding postoperative complications (p = 0.987). Group I had shorter total hospital stays and medical costs (p = 0.005, p < 0.001, respectively) vs Group II and Group III. Early LC within 1 week after PTGBD is safe and effective, with comparable intraoperative outcomes, postoperative complications, and conversion rates to open cholecystectomy. Furthermore, early LC could decrease postoperative length of hospital stay and medical costs.Yunxiao LyuTing LiBin WangYunxiao ChengNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yunxiao Lyu Ting Li Bin Wang Yunxiao Cheng Early laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis
description	Abstract There is no consensus on the optimal timing of laparoscopic cholecystectomy (LC) after percutaneous transhepatic gallbladder drainage (PTGBD) for patients with acute cholecystitis (AC). We retrospectively evaluated patients who underwent LC after PTGBD between 1 February 2016 and 1 February 2020. We divided patients into three groups according to the interval time between PTGBD and LC as follows: Group I (within 1 week), (Group II, 1 week to 1 month), and Group III (> 1 month) and analyzed patients’ perioperative outcomes. We enrolled 100 patients in this study (Group I, n = 22; Group II, n = 30; Group III, n = 48). We found no significant difference between the groups regarding patients’ baseline characteristics and no significant difference regarding operation time and estimated blood loss (p = 0.69, p = 0.26, respectively). The incidence of conversion to open cholecystectomy was similar in the three groups (p = 0.37), and we found no significant difference regarding postoperative complications (p = 0.987). Group I had shorter total hospital stays and medical costs (p = 0.005, p < 0.001, respectively) vs Group II and Group III. Early LC within 1 week after PTGBD is safe and effective, with comparable intraoperative outcomes, postoperative complications, and conversion rates to open cholecystectomy. Furthermore, early LC could decrease postoperative length of hospital stay and medical costs.
format	article
author	Yunxiao Lyu Ting Li Bin Wang Yunxiao Cheng
author_facet	Yunxiao Lyu Ting Li Bin Wang Yunxiao Cheng
author_sort	Yunxiao Lyu
title	Early laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis
title_short	Early laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis
title_full	Early laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis
title_fullStr	Early laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis
title_full_unstemmed	Early laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis
title_sort	early laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/3ac53112c9f24157a21f9f14bdbf44ce
work_keys_str_mv	AT yunxiaolyu earlylaparoscopiccholecystectomyafterpercutaneoustranshepaticgallbladderdrainageforacutecholecystitis AT tingli earlylaparoscopiccholecystectomyafterpercutaneoustranshepaticgallbladderdrainageforacutecholecystitis AT binwang earlylaparoscopiccholecystectomyafterpercutaneoustranshepaticgallbladderdrainageforacutecholecystitis AT yunxiaocheng earlylaparoscopiccholecystectomyafterpercutaneoustranshepaticgallbladderdrainageforacutecholecystitis
_version_	1718392314761576448

Early laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis

Ejemplares similares