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- W2338865552 abstract "Introduction: Percutaneous Cholecystostomy (PC) has been proposed as an effective bridge procedure before elective cholecystectomy for acute cholecystitis. We designed this study to evaluate the efficacy of PC in patients with acute cholecystitis and ASA classification more than 3. Method: For recent 3 years, we did PC in 29 patients with acute cholecystitis and ASA classification more than 3. We did PC as a bridge procedure before elective cholecystectomy (bridge group) in 20 patients and as a palliation of symptom in 9 patients (palliation group). We evaluated patients characteristics, complication rate after PC, ASA classification change before and after PC, resumption of oral intake after PC and success rate of laparoscopic cholecystectomy (LC) etc. Results: Mean ASA classification before and after PC were 3.7 ± 0.5, 2.3 ± 0.8 and 4.0 ± 0.8, 3.4 ± 0.7, respectively in both group. There was only one complication after PC (peritonitis after PC, 3.4%), who is one of two mortality cases in palliation group (22.2%). Resumption of oral intake was possible 3.2 ± 2.1 days after PC in bridge group and 3.0 ± 2.4 days in palliation group except two mortalities due to underlying diseases. We tried 12 LC and one failed due to bile duct injury (success rate was 91.6%). Mean operation time for LC was 106.8 ± 32.5 which is a little bit longer. Conclusion: PC is a good procedure for bridge procedure before elective LC and palliation of symptom in patients with acute cholecystitis and ASA classification more than 3." @default.
- W2338865552 created "2016-06-24" @default.
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- W2338865552 date "2016-04-01" @default.
- W2338865552 modified "2023-09-26" @default.
- W2338865552 title "Percutaneous cholecystostomy for patients with ASA classification more than 3" @default.
- W2338865552 doi "https://doi.org/10.1016/j.hpb.2016.03.295" @default.
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