Early versus delayed laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-03

AUTHORS

In Woong Han, Jin-Young Jang, Mee Joo Kang, Kyoung Bun Lee, Seung Eun Lee, Sun-Whe Kim

ABSTRACT

BACKGROUND: Percutaneous transhepatic gallbladder drainage (PTGBD) is a procedure to resolve acute cholecystitis (AC). It may decrease the technical difficulty of laparoscopic cholecystectomy (LC) and thus may facilitate successful surgery when a patients' condition improves. However, the timing of LC after PTGBD remains controversial. METHODS: From 2004 to 2010, cholecystectomy after PTGBD was performed in 67 patients with AC. Group I members underwent LC within 72 h of PTGBD (n = 21), whereas group II members underwent LC at more than 72 h after PTGBD (n = 46). RESULTS: The open conversion rate was similar in the two groups. The perioperative complication rate was higher in group I than in group II, but with marginal significance (19.0 vs. 4.3%; p = 0.07). Mean operative time was longer in group I than in group II (79.3 ± 25.3 vs. 53.7 ± 45.3 min; p = 0.02). However, overall hospital stay was shorter in group I than in group II, but with marginal significance (10.8 ± 4.5 vs. 14.7 ± 9.3 days; p = 0.08). CONCLUSIONS: Pros and cons were well balanced between the two groups. Decisions on the timing of cholecystectomy after PTGBD should be made based on considerations of patient condition, hospital facilities, and surgical experience. More... »

PAGES

187-193

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00534-011-0458-6

DOI

http://dx.doi.org/10.1007/s00534-011-0458-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1003374785

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21938408


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