Should percutaneous cholecystostomy be used in all cases difficult to manage?

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dc.contributor.authorKUTLUTÜRK, Koray
dc.contributor.authorCARTI, Erdem Barış
dc.date.accessioned2022-11-11T07:30:10Z
dc.date.available2022-11-11T07:30:10Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractABSTRACTBACKGROUND: Cholecystectomy is the well-accepted management method for acute cholecystitis in patients suitable for surgery. Percutaneous cholecystostomy is planned and used in patients at high surgical risk due to acute symptomatic cholecystitis and/or acute or chronic comorbidity. Percutaneous cholecystostomy can provide permanent treatment, or it may act as a bridge for electivecholecystectomy.METHODS: We presented the outcomes of 50 patients who initially underwent ultrasound-guided transhepatic percutaneous cholecystostomy and 4–6 weeks later, an interval cholecystectomy. All patients had either impaired gallbladder wall integrity on contrastenhanced abdominal computed tomography performed during admission or had grade II acute cholecystitis according to the Tokyo Guidelines 13 diagnostic criteria and severity grading of acute cholecystitis or exhibited clinical signs of acute cholecystitis on the fifth day of non-operative treatment.RESULTS: Our results suggest that although percutaneous cholecystostomy is a useful method for alleviation of the emergency clinical condition in acute cholecystitis, it makes the interval cholecystectomy more difficult to perform due to the dense fibrosis developing during the healing process, eventually complicating laparoscopic cholecystectomy.CONCLUSION: Cholecystostomy may cause fibrosis during the healing process, eventually complicating laparoscopic cholecystectomy. Thus, there is a need for better evaluation during the identification of indications for cholecystostomy.en_US
dc.identifier.citationCARTI E, KUTLUTÜRK K (2020). Should percutaneous cholecystostomy be used in all cases difficult to manage?. Ulusal Travma ve Acil Cerrahi Dergisi, 26(2), 186 - 190. 10.14744/tjtes.2020.73557en_US
dc.identifier.doi10.14744/tjtes.2020.73557en_US
dc.identifier.endpage190en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue2en_US
dc.identifier.pmid32185772en_US
dc.identifier.scopus2-s2.0-85081283139en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage186en_US
dc.identifier.trdizinid360152en_US
dc.identifier.urihttps://doi.org/10.14744/tjtes.2020.73557
dc.identifier.urihttps://hdl.handle.net/11616/85264
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/360152
dc.identifier.volume26en_US
dc.identifier.wosWOS:000528165700005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleShould percutaneous cholecystostomy be used in all cases difficult to manage?en_US
dc.typeArticleen_US

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