Article
Surgery
Caroline Polito, Xiaoyue Zhang, Jie Yang, Konstantinos Spaniolas, Aurora Pryor, Samer Sbayi
Summary: This study aims to identify the optimal timing between a percutaneous cholecystostomy (PC) and cholecystectomy to reduce poor surgical outcomes. The study found that performing a cholecystectomy more than 14 days after a PC is associated with better surgical outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Hye Woen Jeon, Kyung Uk Jung, Mi Yeon Lee, Hyun Pyo Hong, Jun Ho Shin, Sung Ryol Lee
Summary: This study compared the clinical outcomes of early laparoscopic cholecystectomy (ELC) within the first two weeks of hospitalization with delayed laparoscopic cholecystectomy (DLC) for Grade II acute cholecystitis patients. Results showed that DLC had better outcomes with shorter operative time and postoperative hospital stay.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Vincent Cheng, Kazuhide Matsushima, Kulmeet Sandhu, Matthew Ashbrook, Koji Matsuo, Kenji Inaba, Demetrios Demetriades
Summary: This nationwide study reveals a significant increase in the implementation of laparoscopic cholecystectomy in pregnant women with acute cholecystitis after 2007, alongside a significant reduction in the time to surgery. Compared to non-operative management, laparoscopic cholecystectomy is associated with significantly lower rates of adverse outcomes for both mothers and fetuses.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Health Care Sciences & Services
Paola Fugazzola, Fikri M. Abu-Zidan, Lorenzo Cobianchi, Francesca Dal Mas, Marco Ceresoli, Federico Coccolini, Simone Frassini, Matteo Tomasoni, Fausto Catena, Luca Ansaloni, SPRiMACC Collaborative Grp
Summary: The timing of early cholecystectomy does not affect post-operative complications and mortality, but it does have an impact on intraoperative complications and partial cholecystectomy rates. As the duration of symptoms increases, the complexity and risk of surgery also increase due to worsening inflammation.
Article
Surgery
My Blohm, Gabriel Sandblom, Lars Enochsson, Mats Hedberg, Mikael Franko Andersson, Johanna osterberg
Summary: This study demonstrates that operative volumes influence outcomes of cholecystectomies, suggesting that gallstone surgery should be performed by procedure-dedicated surgeons at hospitals with high volumes of this type of surgery.
BRITISH JOURNAL OF SURGERY
(2023)
Article
Surgery
Jemma Mytton, Prita Daliya, Pritam Singh, Simon L. Parsons, Dileep N. Lobo, Richard Lilford, Ravinder S. Vohra
Summary: Over 50% of patients in England did not undergo cholecystectomy following index admission for acute cholecystitis. Mortality was higher in the nonoperated group, which was mostly due to non-gallbladder pathologies but total hospital admission time for biliary causes was lower over 12 months.
Article
Surgery
Nina Sonne Bundgaard, Aske Bohm, Anna Koldbro Hansted, Anders Peter Skovsen
Summary: This study evaluated the safety of ELC compared to DLC for acute cholecystitis, finding that ELC is safe even beyond 5 days of symptoms. The duration of symptoms in AC does not independently predict perioperative outcomes.
LANGENBECKS ARCHIVES OF SURGERY
(2021)
Article
Medicine, General & Internal
Yau-Ren Chang, Chi-Huan Wu, Huan-Wu Chen, Yu-Liang Hung, Chia-Hsiang Hu, Ruo-Yi Huang, Min-Jung Wu, Hao-Wei Kou, Ming-Yang Chen, Chun-Yi Tsai, Shang-Yu Wang, Keng-Hao Liu, Jun-Te Hsu, Chun-Nan Yeh, Nai-Jen Liu, Yi-Yin Jan
Summary: This study investigated the optimal timing of cholecystectomy after adequate biliary drainage in patients with concurrent acute cholecystitis and acute cholangitis. The results showed that patients who underwent cholecystectomy during the same hospitalization period had better clinical outcomes compared to those who underwent two-stage intervention. However, there were no significant differences in surgical outcomes between the two groups.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Spyridon Giannopoulos, Keith Makhecha, Sathvik Madduri, Felix Garcia, Timothy C. Baumgartner, Dimitrios Stefanidis
Summary: Acute cholecystitis is a common disease in clinical practice. Patients who are not suitable for surgery may benefit from early percutaneous cholecystostomy drainage followed by interval cholecystectomy, but the optimal timing between the two procedures is still uncertain. This study aimed to investigate the impact of the duration between percutaneous cholecystostomy and interval cholecystectomy on perioperative outcomes and identify the optimal timing to minimize complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Spyridon Giannopoulos, Keith Makhecha, Sathvik Madduri, Felix Garcia, Timothy C. Baumgartner, Dimitrios Stefanidis
Summary: This study investigated the impact of the time interval between percutaneous cholecystostomy and interval cholecystectomy on perioperative outcomes in patients with acute cholecystitis. The results showed that delaying surgery for more than 8 weeks may increase the risk of longer hospital stays, but there were no significant differences in intra- and perioperative outcomes between surgery performed within 8 weeks and after 8 weeks.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Emergency Medicine
Giuseppe Borzellino, Safi Khuri, Michele Pisano, Subhi Mansour, Niccolo Allievi, Luca Ansaloni, Yoram Kluger
Summary: This study did not confirm the hypothesis that immediate cholecystectomy performed within 24 hours of admission may reduce post-operative complications unless surgery could be performed within 72 hours of the onset of symptoms.
WORLD JOURNAL OF EMERGENCY SURGERY
(2021)
Article
Surgery
Szabolcs Abraham, Illes Toth, Ria Benko, Maria Matuz, Gabriella Kovacs, Zita Morvay, Andras Nagy, Aurel Ottlakan, Laszlo Czako, Zoltan Szepes, Daniel Vaczi, Andras Negyessy, Attila Paszt, Zsolt Simonka, Andras Petri, Gyorgy Lazar
Summary: This retrospective study of 162 patients undergoing PTGBD between 2010 and 2020 demonstrates promising clinical success rates in the treatment of acute cholecystitis, with PTGBD being a definitive treatment in a significant percentage of cases. However, the severity of gallbladder inflammation, particularly in grade III cases, plays a decisive role in clinical outcomes, with low success rates and high mortality rates to be considered.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Vibhor Wadhwa, Premal S. Trivedi, Mina S. Makary, David Strain, Osman Ahmed, Jeffrey Forris Beecham Chick, Resmi A. Charalel
Summary: The study reveals an increasing trend in the use of percutaneous cholecystostomy among patients admitted with acute cholecystitis. Compared with no intervention, percutaneous cholecystostomy is associated with improved odds of survival.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2021)
Article
Surgery
Toshiyuki Mori, Hideki Endo, Takeyuki Misawa, Shigeki Yamaguchi, Yoshihiro Sakamoto, Masafumi Inomata, Yoshiharu Sakai, Yoshihiro Kakeji, Hiroaki Miyata, Yuko Kitagawa, Masahiko Watanabe
Summary: This study evaluated the impact of ESSQS-certified surgeons on short-term outcomes of laparoscopic cholecystectomy for acute cholecystitis. The findings suggest that ESSQS-certified surgeons have lower surgical mortality rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Surgery
Yu-Liang Hung, Chang-Mu Sung, Chih-Yuan Fu, Chien-Hung Liao, Shang-Yu Wang, Jun-Te Hsu, Ta-Sen Yeh, Chun-Nan Yeh, Yi-Yin Jan
Summary: PC has become an important procedure for the treatment of acute cholecystitis, although the management following PC needs to be further reviewed. Different treatment strategies should be applied for patients who can undergo surgery and those who cannot.
FRONTIERS IN SURGERY
(2021)