Role of percutaneous cholecystostomy in all-comers with acute cholecystitis according to current guidelines in a general surgical unit.
Acute cholecystitis
Cholecystostomy
Emergency surgery
Journal
Updates in surgery
ISSN: 2038-3312
Titre abrégé: Updates Surg
Pays: Italy
ID NLM: 101539818
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
24
07
2020
accepted:
07
10
2020
pubmed:
16
10
2020
medline:
16
10
2021
entrez:
15
10
2020
Statut:
ppublish
Résumé
Acute calculous cholecystitis (ACC) is a very common complication of gallstone-related disease. Its currently recommended management changes according to severity of disease and fitness for surgery. The aim of this observational study is to assess the short- and long-term outcomes in all-comers admitted with diagnosis of ACC, treated according to 2013 Tokyo Guidelines (TG13). A retrospective analysis was conducted on a prospectively maintained database of 125 patients with diagnosis of ACC consecutively admitted between January 2017 and September 2019, subdivided in three groups according to TG13: percutaneous cholecystostomy (PC group), cholecystectomy (CH group), and conservative medical treatment (MT group). The primary end point was a composite of morbidity and/or mortality rates; the secondary end points were ACC recurrence, readmission, need for cholecystectomy rates and overall length of hospital stay (LOS). After a median follow-up of 639 days, overall morbidity rate was 20.8% and mortality rate was 6.4%. Death was directly related to AC during the index admission in two out of eight cases. There were no significant differences in primary end point according to the treatment group. Concerning secondary end points, ACC recurrence rate was not significantly different after PC (10.0%) or MT (9.1%); the readmission rates were significantly higher (p < 0.0001) in the MT group (48.5%) and in the PC group (25.0%) than in the CH group (5.8%); need for cholecystectomy rates was significantly higher (p < 0.0001) in the MT group (42.4%) than in the PC group (20.0%); median overall LOS was significantly higher in the PC (16 days) than in the MT (9 days) and than in the CH group (5 days). PC is an effective and safe rescue procedure in high-risk patients with ACC, representing a definitive treatment in 80% of cases of this specific subgroup.
Identifiants
pubmed: 33058055
doi: 10.1007/s13304-020-00897-1
pii: 10.1007/s13304-020-00897-1
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
473-480Références
Shaffer EA (2005) Epidemiology and risk factors for gallstone disease: has the paradigm changed in the 21st century? Curr Gastroenterol Rep 7:132–140
pubmed: 15802102
Sanders G, Kingsnorth AN (2007) Gallstones. BMJ 335:295–299
pubmed: 17690370
pmcid: 1941876
Ansaloni L, Pisano M, Coccolini F et al (2016) 2016 WSES guidelines on acute calculous cholecystitis. World J Emerg Surg 11:25. https://doi.org/10.1186/s13017-016-0082-5
doi: 10.1186/s13017-016-0082-5
pubmed: 27307785
pmcid: 4908702
Endo I, Takada T, Hwang TL et al (2017) Optimal treatment strategy for acute cholecystitis based on predictive factors: Japan-Taiwan multicenter cohort study. J Hepatobiliary Pancreat Sci 24:346–361. https://doi.org/10.1002/jhbp.456
doi: 10.1002/jhbp.456
pubmed: 28419741
Papi C, Catarci M, D’Ambrosio L et al (2004) Timing of cholecystectomy for acute calculous cholecystitis: a meta-analysis. Am J Gastroenterol 99:147–155
pubmed: 14687156
Siddiqui T, MacDonald A, Chong PS, Jenkins JT (2008) Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a meta-analysis of randomized clinical trials. Am J Surg 195:40–47
pubmed: 18070735
Gurusamy KS, Davidson C, Gluud C, Davidson BR (2013) Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis. Cochrane Database Syst Rev 30(6):CD05440
Zhou MW, Gu XD, Xiang JB, Chen ZY (2014) Comparison of clinical safety and outcomes of early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a meta-analysis. Sci World J 2014:274516. https://doi.org/10.1155/2014/274516
doi: 10.1155/2014/274516
Wu XD, Tian X, Liu MM, Wu L, Zhao S, Zhao L (2015) Meta-analysis comparing early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 102:1302–1313
pubmed: 26265548
Cao AM, Eslick GD, Cox MR (2015) Early Cholecystectomy is superior to delayed cholecystectomy for acute cholecystitis: a meta-analysis. J Gastrointest Surg 19:848–857
pubmed: 25749854
Menahem B, Mulliri A, Fohlen A, Guittet L, Alves A, Lubrano J (2015) Delayed laparoscopic cholecystectomy increases the total hospital stay compared to an early laparoscopic cholecystectomy after acute cholecystitis: an updated meta-analysis of randomized controlled trials. HPB (Oxford) 17:857–862
Lyu Y, Cheng Y, Wang B, Zhao S, Chen L (2018) Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: an up-to-date meta-analysis of randomized controlled trials. Surg Endosc 32:4728–4741
pubmed: 30167953
Song GM, Bian W, Zeng XT, Zhou JG, Luo YQ, Tian X (2016) Laparoscopic cholecystectomy for acute cholecystitis: early or delayed?: evidence from a systematic review of discordant meta-analyses. Medicine (Baltimore) 95(23):e3835. https://doi.org/10.1097/MD.0000000000003835
doi: 10.1097/MD.0000000000003835
Takada T, Kawarada Y, Nimura Y et al (2007) Background: Tokyo Guidelines for the management of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci 14:1–10
Yokoe M, Takada T, Strasberg SM et al (2012) New diagnostic criteria and severity assessment of acute cholecystitis in revised Tokyo Guidelines. J Hepatobiliary Pancreat Sci 19:578–585
pubmed: 22872303
pmcid: 3429769
Yokoe M, Hata J, Takada T et al (2018) Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 25:41–54
pubmed: 29032636
Keus F, Gooszen HG, van Laarhoven CJ (2010) Open, small-incision, or laparoscopic cholecystectomy for patients with symptomatic cholecystolithiasis. An overview of Cochrane Hepato-Biliary Group reviews. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD008318
doi: 10.1002/14651858.CD008318
pubmed: 20091665
pmcid: 7180153
Abi-Haidar Y, Sanchez V, Williams SA, Itani KM (2012) Revisiting percutaneous cholecystostomy for acute cholecystitis based on a 10-year experience. Arch Surg 147:416–422
pubmed: 22785633
Campanile FC, Carrara A, Motter M, Ansaloni L, Agresta F (2014) Laparoscopy and acute cholecystitis: the evidence. In: Agresta F, Campanile F, Vettoretto N (eds) Laparoscopic cholecystectomy. Springer, Cham, pp 59–72
Kamarajah SK, Karri S, Bundred JR et al (2020) Perioperative outcomes after laparoscopic cholecystectomy in elderly patients: a systematic review and meta-analysis. Surg Endosc. https://doi.org/10.1007/s00464-020-07805-z
doi: 10.1007/s00464-020-07805-z
pubmed: 32661706
pmcid: 7572343
Fukami Y, Kurumiya Y, Mizuno K, Sekoguchi E, Kobayashi S (2014) Cholecystectomy in octogenarians: be careful. Updates Surg 66:265–268
pubmed: 25266894
Kortram K, de Vries Reilingh TS, Wiezer MJ, van Ramshorst B, Boerma D (2011) Percutaneous drainage for acute calculous cholecystitis. Surg Endosc 25:3642–3646
pubmed: 21638173
Radder RW (1980) Ultrasonically guided percutaneous catheter drainage for gallbladder empyema. Diagn Imaging 49:330–333
pubmed: 7215096
Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40:373–383
Fugazza A, Colombo M, Repici A, Anderloni A (2020) Endoscopic ultrasound-guided gallbladder drainage: current perspectives. Clin Exp Gastroenterol 13:193–201
pubmed: 32523368
pmcid: 7237126
Bass GA, Gillis AE, Cao Y, Mohseni S (2020) European Society for Trauma and Emergency Surgery (ESTES) Cohort Studies Group. Self-reported and actual adherence to the Tokyo guidelines in the European snapshot audit of complicated calculous biliary disease. BJS Open. https://doi.org/10.1002/bjs5.50294
doi: 10.1002/bjs5.50294
pubmed: 32418332
pmcid: 7397364
Gurusamy KS, Rossi M, Davidson BR (2013) Percutaneous cholecystostomy for high-risk surgical patients with acute calculous cholecystitis. Cochrane Database Syst Rev 8:CD07088. https://doi.org/10.1002/14651858.CD007088.pub2
doi: 10.1002/14651858.CD007088.pub2
Catarci M, Montemurro L, Viarengo MA, Leone L (2008) Urgent surgery for biliary stones. In: Sartelli M, Catena F (eds) Manual of emergency surgery. Alpes, Bresson, pp 15–27
Solomkin JS, Mazuski JE, Bradley JS et al (2010) Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clin Infect Dis 50:133–164
pubmed: 20034345
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213
pubmed: 15273542
pmcid: 15273542
England RE, McDermott VG, Smith TP et al (1997) Percutaneous cholecystostomy: who responds? AJR Am J Roentgenol 168:1247–1251
pubmed: 9129421
Chung YH, Choi ER, Kim KM et al (2012) Can percutaneous cholecystostomy be a definitive management for acute acalculous cholecystitis? J Clin Gastroenterol 46:216–219
pubmed: 21814147
Campanile FC, Giannotti D, Agresta F, Vettoretto N, Rao I (2016) Acute calculous cholecystitis. In: Agresta F, Campanile F, Anania G, Bergamini C (eds) Emergency laparoscopy. Springer, Cham, pp 7–25
Zerem E, Omerović S (2014) Can percutaneous cholecystostomy be a definitive management for acute cholecystitis in high-risk patients? Surg Laparosc Endosc Percutan Tech 24:187–191
pubmed: 24686358
Pang KW, TanCHN LS et al (2016) Outcomes of percutaneous cholecystostomy for acute cholecystitis. World J Surg 40:2735–2744
pubmed: 27255942
De Geus T, Moriarty H, Waters P et al (2020) Outcomes of patients treated with upfront cholecystostomy for severe acute cholecystitis. Surg Laparosc Endosc Percutan Tech 30:79–84
pubmed: 31876887
Soreide JA, Fjetland A, Desserud KF, Greve OJ, Fjetland L (2020) Percutaneous cholecystostomy—an option in selected patients with acute cholecystitis. Medicine (Baltimore) 99:e20101. https://doi.org/10.1097/MD.0000000000020101
doi: 10.1097/MD.0000000000020101
Leveau P, Andersson E, Carlgren I et al (2008) Percutaneous cholecystostomy: a bridge to surgery or definite management of acute cholecystitis in high-risk patients? Scand J Gastro-enterol 43:593–596
Griniatsos J, Petrou A, Pappas P et al (2008) Percutaneous cholecystostomy without interval cholecystectomy as definitive treatment of acute cholecystitis in elderly and critically ill patients. South Med J 101:586–590
pubmed: 18475218
McKay A, Abulfaraj M, Lipschitz J (2012) Short-and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients. Surg Endosc 26:1343–1351
pubmed: 22089258
Morse BC, Smith JB, Lawdahl RB et al (2010) Management of acute cholecystitis in critically ill patients: contemporary role for cholecystostomy and subsequent cholecystectomy. Am Surg 76:708–712
pubmed: 20698375
Koebrugge B, Van Leuken M, Ernst MF et al (2010) Percutaneous cholecystostomy in critically ill patients with a cholecystitis: a safe option. Dig Surg 27:417–421
pubmed: 20948216
McGillicuddy EA, Schuster KM, Barre K et al (2012) Non-operative management of acute cholecystitis in the elderly. Br J Surg 99:1254–1261
pubmed: 22829411
Sanjay P, Mittapalli D, Marioud A, White RD, Ram R, Alijani A (2013) Clinical outcomes of a percutaneous cholecystostomy for acute cholecystitis: a multicentre analysis. HPB (Oxford) 15:511–516
Li M, Li N, Ji W, Quan Z et al (2013) Percutaneous cholecystostomy is a definitive treatment for acute cholecystitis in elderly high-risk patients. Am Surg 79:524–527
pubmed: 23635589
Chang YR, Ahn YJ, Jang JY et al (2014) Percutaneous cholecystostomy for acute cholecystitis in patients with high comorbidity and re-evaluation of treatment efficacy. Surgery 155:615–622
pubmed: 24548617
Loozen CS, van Santvoort HC, van Duijvendijk P et al (2018) Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial. BMJ 363:k3965
pubmed: 30297544
pmcid: 6174331
Jang WS, Lim JU, Joo KR et al (2015) Outcomes of conservative percutaneous cholecystostomy in high-risk patients with acute cholecystitis and risk factors leading to surgery. Surg Endosc 29:2359–2364
pubmed: 25487543
Yeo CS, Tay VW, Low JK et al (2016) Outcomes of percutaneous cholecystostomy and predictors of eventual cholecystectomy. J Hepatobiliary Pancreat Sci 23:65–73
pubmed: 26580708
Lu P, Chan CL, Yang NP et al (2017) Outcome comparison between percutaneous cholecystostomy and cholecystectomy: a 10-year population-based analysis. BMC Surg 17:130
pubmed: 29212485
pmcid: 5719669
Stanek A, Dohan A, Barkun J et al (2018) Percutanous cholecystostomy: a simple bridge to surgery or an alternative option for management of acute cholecystitis? Am J Surg 216:595–603
pubmed: 29429546
Mori Y, Itoi T, Baron TH et al (2018) Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 25:87–95
pubmed: 28888080
Onoe S, Kaneoka Y, Maeda A, Takayama Y, Fukami Y (2016) Feasibility of laparoscopic cholecystectomy for acute cholecystitis beyond 72 h of symptom onset. Updates Surg 68:377–383
pubmed: 27785732