Percutaneous cholecystostomy (PC) is an effective treatment for cholecystitis in surgical high risk patients. However, there has been no definite agreement of the additional cholecystectomy in these patients. The investigators surveyed the clinical outcomes of the PC in surgical high risk patients. And the investigators tried to prove the PC can be appropriate and ultimate treatment for acute cholecystitis patients with critical illness through this study.
Between 2007 and 2012, all patients admitted for acute cholecystitis, and then underwent ultrasonography guided percutaneous cholecystostomy in Cheju Halla General Hospital were consecutively enrolled. Among 82 patients, 35 were performed laparoscopic cholecystectomy after recovery (Cholecystectomy group) and 47 treated by best supportive care without additional surgery (BSC group). The investigators analyzed their surgical risks and clinical outcomes of both patients retrospectively.
Study Type
OBSERVATIONAL
Enrollment
82
Digestive disease center, Department of Internal Medicine, Cheju Halla General Hospital
Jeju City, Jeju Special Self-governing Province, South Korea
All cause mortality
Time frame: within 30 days
Evidence of recurrent cholecystitis or biliary complication
Acute cholecysitits : fever, abdominal pain, abnormal chemistry results Biliary complication : Gallstone pancreatitis, gallstone ileus or cholangitis
Time frame: Within 30 days
Evidence of recurrent cholecystitis or biliary complication
Acute cholecystits : fever, abdominal pain, abnormal chemistry results Biliary complication : Gallstone pancreatitis, gallstone ileus or cholangitis
Time frame: Within 30 days
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