Timing of Percutaneous Cholecystostomy

Abstract

Objective: To investigate the effect of the timing of Percutaneous Cholecystostomy (PC) on morbidity and mortality.

Study design: Comparative cross-sectional study.

Place and duration of study: Deparmant of Gastroenterological Surgery, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, Turkey from 2017 to 2020.

Methodology: The study included 61 patients with ASA 3-4 score, who were underwent PC during the study period. The patients were separated into two groups as Group 1 (n = 23); who underwent PC in the first 24 hours; and Group 2 (n = 38), who underwent PC at 24-96 hours. Morbidity and mortality rates were compared between the groups.

Results: Morbidity was observed in 2 (8.7%) patients in Group 1 and 6 (15.8%) in Group 2 (p = 0.698) with 30-day mortality in 3 (13.04%) patients in Group 1 and 8 (21.1%) in Group 2 (p = 0.730). In the cholangiographic studies, more choledochus stones were determined in Group 2 (p = 0.041). Length of stay in hospital was calculated as mean 10.35 ± 9.50 days in Group 1 and 20.03 ± 45.28 days in Group 2 (p = 0.003).

Conclusion: No statistically significant difference was found in the morbidity and mortality rates when PC was performed later. The length of stay in hospital was found to be shorter in patients applied with early PC. Key Words: Percutaneous cholecystostomy, Acute cholecystitis, Cholecystectomy, Morbidity, Mortality, Calculous cholecystitis, Acalculous cholecystitis.