Comparing clinical outcomes of image-guided percutaneous transperitoneal and transhepatic cholecystostomy for acute cholecystitis.
Cholecystitis
gallbladder
gallbladder drainage
percutaneous cholecystostomy
transhepatic
transperitoneal
Journal
Acta radiologica (Stockholm, Sweden : 1987)
ISSN: 1600-0455
Titre abrégé: Acta Radiol
Pays: England
ID NLM: 8706123
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
pubmed:
23
9
2020
medline:
9
9
2021
entrez:
22
9
2020
Statut:
ppublish
Résumé
Percutaneous cholecystostomy is performed by interventional radiologists for patients with calculous/acalculous cholecystitis who are poor candidates for cholecystectomy. Two anatomical approaches are widely utilized: transperitoneal and transhepatic. To compare the clinical outcomes of transperitoneal and transhepatic approaches to cholecystostomy catheter placement. From December 2007 to August 2015, 165 consecutive patients (97 men, 68 women) underwent either transperitoneal (n = 89) or transhepatic (n = 76) cholecystostomy at a single center. Indications were calculous cholecystitis (n = 21), acalculous cholecystitis (n = 35), hydrops (n = 1), gangrenous cholecystitis (n = 1), and other cholecystitis (n = 107). The most common high-risk co-morbidities were sepsis (n = 53) and cardiac (n = 11). Outcomes were compared using univariate and multivariable analysis. Post-procedure outcomes included tube dislodgement (transperitoneal [n = 6] and transhepatic [n = 3], There were no significant differences in short-term complications after transperitoneal and transhepatic approaches to percutaneous cholecystostomy catheter placement.
Sections du résumé
BACKGROUND
BACKGROUND
Percutaneous cholecystostomy is performed by interventional radiologists for patients with calculous/acalculous cholecystitis who are poor candidates for cholecystectomy. Two anatomical approaches are widely utilized: transperitoneal and transhepatic.
PURPOSE
OBJECTIVE
To compare the clinical outcomes of transperitoneal and transhepatic approaches to cholecystostomy catheter placement.
MATERIAL AND METHODS
METHODS
From December 2007 to August 2015, 165 consecutive patients (97 men, 68 women) underwent either transperitoneal (n = 89) or transhepatic (n = 76) cholecystostomy at a single center. Indications were calculous cholecystitis (n = 21), acalculous cholecystitis (n = 35), hydrops (n = 1), gangrenous cholecystitis (n = 1), and other cholecystitis (n = 107). The most common high-risk co-morbidities were sepsis (n = 53) and cardiac (n = 11). Outcomes were compared using univariate and multivariable analysis.
RESULTS
RESULTS
Post-procedure outcomes included tube dislodgement (transperitoneal [n = 6] and transhepatic [n = 3],
CONCLUSION
CONCLUSIONS
There were no significant differences in short-term complications after transperitoneal and transhepatic approaches to percutaneous cholecystostomy catheter placement.
Identifiants
pubmed: 32957795
doi: 10.1177/0284185120959829
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM