Early Percutaneous Cholecystostomy in Severe Acute Cholecystitis Reduces the Complication Rate and Duration of Hospital Stay
The optimal timing of percutaneous cholecystostomy for severe acute cholecystitis is unclear. The aim of this study was to investigate the timing of percutaneous cholecystostomy and its relationship to clinical outcomes in patients with inoperable acute severe cholecystitis.From 2008 to 2010, 209 co...
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| Veröffentlicht in: | Medicine (Baltimore) 2015-07, Vol.94 (27), p.e1096-e1096 |
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| creator | Chou, Chung-Kai Lee, Kuei-Chuan Chan, Che-Chang Perng, Chin-Lin Chen, Chun-Ku Fang, Wen-Liang Lin, Han-Chieh |
| description | The optimal timing of percutaneous cholecystostomy for severe acute cholecystitis is unclear. The aim of this study was to investigate the timing of percutaneous cholecystostomy and its relationship to clinical outcomes in patients with inoperable acute severe cholecystitis.From 2008 to 2010, 209 consecutive patients who were admitted to our hospital due to acute cholecystitis and were treated by percutaneous cholecystostomy were retrospectively reviewed. The time periods from symptom onset to when percutaneous cholecystostomy was performed and when patients were discharged were recorded.In the 209 patients, the median time period between symptom onset and percutaneous cholecystostomy was 23 hours (range, 3-95 hours). The early intervention group (≤24 hours, n = 109) had a significantly lower procedure-related bleeding rate (0.0% vs 5.0%, P = 0.018) and shorter hospital stay (15.8 ± 12.9 vs 21.0 ± 17.5 days) as compared with the late intervention group (>24 hours, n = 100). Delayed percutaneous cholecystostomy was a significant independent factor for a longer hospital stay (odds ratio 3.03, P = 0.001).In inoperable patients with acute severe cholecystitis, early percutaneous cholecystostomy reduced hospital stay and procedure-related bleeding without increasing the mortality rate. |
| doi_str_mv | 10.1097/MD.0000000000001096 |
| format | Article |
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The aim of this study was to investigate the timing of percutaneous cholecystostomy and its relationship to clinical outcomes in patients with inoperable acute severe cholecystitis.From 2008 to 2010, 209 consecutive patients who were admitted to our hospital due to acute cholecystitis and were treated by percutaneous cholecystostomy were retrospectively reviewed. The time periods from symptom onset to when percutaneous cholecystostomy was performed and when patients were discharged were recorded.In the 209 patients, the median time period between symptom onset and percutaneous cholecystostomy was 23 hours (range, 3-95 hours). The early intervention group (≤24 hours, n = 109) had a significantly lower procedure-related bleeding rate (0.0% vs 5.0%, P = 0.018) and shorter hospital stay (15.8 ± 12.9 vs 21.0 ± 17.5 days) as compared with the late intervention group (>24 hours, n = 100). Delayed percutaneous cholecystostomy was a significant independent factor for a longer hospital stay (odds ratio 3.03, P = 0.001).In inoperable patients with acute severe cholecystitis, early percutaneous cholecystostomy reduced hospital stay and procedure-related bleeding without increasing the mortality rate.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000001096</identifier><identifier>PMID: 26166097</identifier><language>eng</language><publisher>United States: Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Cholecystitis, Acute - surgery ; Cholecystostomy - adverse effects ; Cholecystostomy - methods ; Cholecystostomy - mortality ; Female ; Hospital Mortality ; Humans ; Length of Stay ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures - adverse effects ; Minimally Invasive Surgical Procedures - methods ; Minimally Invasive Surgical Procedures - mortality ; Observational Study ; Postoperative Complications - epidemiology ; Retrospective Studies ; Sex Factors ; Time Factors</subject><ispartof>Medicine (Baltimore), 2015-07, Vol.94 (27), p.e1096-e1096</ispartof><rights>Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4504-94474bbb7da5adab33669dd611a30df2e0a06a3a4753b589d34bf467ee73e5c43</citedby><cites>FETCH-LOGICAL-c4504-94474bbb7da5adab33669dd611a30df2e0a06a3a4753b589d34bf467ee73e5c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504525/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504525/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26166097$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chou, Chung-Kai</creatorcontrib><creatorcontrib>Lee, Kuei-Chuan</creatorcontrib><creatorcontrib>Chan, Che-Chang</creatorcontrib><creatorcontrib>Perng, Chin-Lin</creatorcontrib><creatorcontrib>Chen, Chun-Ku</creatorcontrib><creatorcontrib>Fang, Wen-Liang</creatorcontrib><creatorcontrib>Lin, Han-Chieh</creatorcontrib><title>Early Percutaneous Cholecystostomy in Severe Acute Cholecystitis Reduces the Complication Rate and Duration of Hospital Stay</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>The optimal timing of percutaneous cholecystostomy for severe acute cholecystitis is unclear. The aim of this study was to investigate the timing of percutaneous cholecystostomy and its relationship to clinical outcomes in patients with inoperable acute severe cholecystitis.From 2008 to 2010, 209 consecutive patients who were admitted to our hospital due to acute cholecystitis and were treated by percutaneous cholecystostomy were retrospectively reviewed. The time periods from symptom onset to when percutaneous cholecystostomy was performed and when patients were discharged were recorded.In the 209 patients, the median time period between symptom onset and percutaneous cholecystostomy was 23 hours (range, 3-95 hours). The early intervention group (≤24 hours, n = 109) had a significantly lower procedure-related bleeding rate (0.0% vs 5.0%, P = 0.018) and shorter hospital stay (15.8 ± 12.9 vs 21.0 ± 17.5 days) as compared with the late intervention group (>24 hours, n = 100). Delayed percutaneous cholecystostomy was a significant independent factor for a longer hospital stay (odds ratio 3.03, P = 0.001).In inoperable patients with acute severe cholecystitis, early percutaneous cholecystostomy reduced hospital stay and procedure-related bleeding without increasing the mortality rate.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cholecystitis, Acute - surgery</subject><subject>Cholecystostomy - adverse effects</subject><subject>Cholecystostomy - methods</subject><subject>Cholecystostomy - mortality</subject><subject>Female</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - adverse effects</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Minimally Invasive Surgical Procedures - mortality</subject><subject>Observational Study</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Sex Factors</subject><subject>Time Factors</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkV9rFTEQxYMo9lr9BILk0ZetyeafeRHKva0VWpRWn0N2d9aNZjfXJNuy4Ic3dWuthkDgzG_ODDkIvaTkiBKt3lzsjsiDUzT5CG2oYLISWvLHaENILSqlFT9Az1L6Vhimav4UHdSSSlk8NujniY1-wZ8gtnO2E4Q54e0QPLRLyqHcccFuwldwDRHwcYHgb91ll_AldHMLCeehVMK496612YUJX9rC2qnDuzmuSujxWUh7l63HV9kuz9GT3voEL-7eQ_Tl9OTz9qw6__j-w_b4vGq5ILzSnCveNI3qrLCdbRiTUnedpNQy0vU1EEukZZYrwRrxVneMNz2XCkAxEC1nh-jd6rufmxG6FqYcrTf76EYbFxOsM_9WJjeYr-Ha3I4XtSgGr-8MYvgxQ8pmdKkF79cfM1RqSTWtpS4oW9E2hpQi9PdjKDG3uZmLnfk_t9L16uGG9z1_gioAX4Gb4DPE9N3PNxDNANbn4befULquakIFUaQmVVEYZ78AaIymBQ</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Chou, Chung-Kai</creator><creator>Lee, Kuei-Chuan</creator><creator>Chan, Che-Chang</creator><creator>Perng, Chin-Lin</creator><creator>Chen, Chun-Ku</creator><creator>Fang, Wen-Liang</creator><creator>Lin, Han-Chieh</creator><general>Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150701</creationdate><title>Early Percutaneous Cholecystostomy in Severe Acute Cholecystitis Reduces the Complication Rate and Duration of Hospital Stay</title><author>Chou, Chung-Kai ; Lee, Kuei-Chuan ; Chan, Che-Chang ; Perng, Chin-Lin ; Chen, Chun-Ku ; Fang, Wen-Liang ; Lin, Han-Chieh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4504-94474bbb7da5adab33669dd611a30df2e0a06a3a4753b589d34bf467ee73e5c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cholecystitis, Acute - surgery</topic><topic>Cholecystostomy - adverse effects</topic><topic>Cholecystostomy - methods</topic><topic>Cholecystostomy - mortality</topic><topic>Female</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - adverse effects</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Minimally Invasive Surgical Procedures - mortality</topic><topic>Observational Study</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Sex Factors</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chou, Chung-Kai</creatorcontrib><creatorcontrib>Lee, Kuei-Chuan</creatorcontrib><creatorcontrib>Chan, Che-Chang</creatorcontrib><creatorcontrib>Perng, Chin-Lin</creatorcontrib><creatorcontrib>Chen, Chun-Ku</creatorcontrib><creatorcontrib>Fang, Wen-Liang</creatorcontrib><creatorcontrib>Lin, Han-Chieh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chou, Chung-Kai</au><au>Lee, Kuei-Chuan</au><au>Chan, Che-Chang</au><au>Perng, Chin-Lin</au><au>Chen, Chun-Ku</au><au>Fang, Wen-Liang</au><au>Lin, Han-Chieh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Percutaneous Cholecystostomy in Severe Acute Cholecystitis Reduces the Complication Rate and Duration of Hospital Stay</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2015-07-01</date><risdate>2015</risdate><volume>94</volume><issue>27</issue><spage>e1096</spage><epage>e1096</epage><pages>e1096-e1096</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>The optimal timing of percutaneous cholecystostomy for severe acute cholecystitis is unclear. The aim of this study was to investigate the timing of percutaneous cholecystostomy and its relationship to clinical outcomes in patients with inoperable acute severe cholecystitis.From 2008 to 2010, 209 consecutive patients who were admitted to our hospital due to acute cholecystitis and were treated by percutaneous cholecystostomy were retrospectively reviewed. The time periods from symptom onset to when percutaneous cholecystostomy was performed and when patients were discharged were recorded.In the 209 patients, the median time period between symptom onset and percutaneous cholecystostomy was 23 hours (range, 3-95 hours). The early intervention group (≤24 hours, n = 109) had a significantly lower procedure-related bleeding rate (0.0% vs 5.0%, P = 0.018) and shorter hospital stay (15.8 ± 12.9 vs 21.0 ± 17.5 days) as compared with the late intervention group (>24 hours, n = 100). Delayed percutaneous cholecystostomy was a significant independent factor for a longer hospital stay (odds ratio 3.03, P = 0.001).In inoperable patients with acute severe cholecystitis, early percutaneous cholecystostomy reduced hospital stay and procedure-related bleeding without increasing the mortality rate.</abstract><cop>United States</cop><pub>Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>26166097</pmid><doi>10.1097/MD.0000000000001096</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Wolters Kluwer Open Health; IngentaConnect Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Age Factors Aged Aged, 80 and over Cholecystitis, Acute - surgery Cholecystostomy - adverse effects Cholecystostomy - methods Cholecystostomy - mortality Female Hospital Mortality Humans Length of Stay Male Middle Aged Minimally Invasive Surgical Procedures - adverse effects Minimally Invasive Surgical Procedures - methods Minimally Invasive Surgical Procedures - mortality Observational Study Postoperative Complications - epidemiology Retrospective Studies Sex Factors Time Factors |
| title | Early Percutaneous Cholecystostomy in Severe Acute Cholecystitis Reduces the Complication Rate and Duration of Hospital Stay |
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