Influence of Percutaneous Transhepatic Gallbladder Aspiration and Drainage for Severe Acute Cholecystitis on the Surgical Outcomes of Subsequent Laparoscopic Cholecystectomy: Post Hoc Analysis of the CSGO-HBP-017 (CSGO-HBP-017C)-Reference-Cited by-同舟云学术

Influence of Percutaneous Transhepatic Gallbladder Aspiration and Drainage for Severe Acute Cholecystitis on the Surgical Outcomes of Subsequent Laparoscopic Cholecystectomy: Post Hoc Analysis of the CSGO-HBP-017 (CSGO-HBP-017C)

Published:2023-12-06 Issue:1 Volume:34 Page:62-68
ISSN:1534-4908
Container-title:Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
language:en
Short-container-title:

Author:

Toya Keisuke¹,Tomimaru Yoshito¹²,Fukuchi Nariaki³⁴,Yokoyama Shigekazu⁵⁶,Mori Takuji⁷,Tanemura Masahiro⁸⁹,Sakai Kenji¹⁰¹¹,Takeda Yutaka¹²,Tsujie Masanori¹³¹⁴,Yamada Terumasa¹⁵,Miyamoto Atsushi¹¹¹⁶,Hashimoto Yasuji¹⁷¹⁸,Hatano Hisanori⁹¹⁹,Shimizu Junzo²¹⁴,Sugimoto Keishi²⁰²¹,Kashiwazaki Masaki⁹²²,Matsumoto Kenichi¹²³,Kobayashi Shogo¹,Doki Yuichiro¹,Eguchi Hidetoshi¹,

Affiliation:

1. Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University

2. Department of Surgery, Toyonaka Municipal Hospital, Toyonaka

3. Department of Surgery, Suita Municipal Hospital

4. Department of Surgery, Japan Community Health Care Organization Hoshigaoka Medical Center, Hirakata

5. Department of Surgery, Saiseikai Senri Hospital, Suita

6. Department of Surgery, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya

7. Department of Surgery, Tane General Hospital

8. Department of Surgery, Osaka Police Hospital

9. Department of Surgery, Rinku General Medical Center

10. Department of Surgery, Japan Community Health Care Organization, Osaka Hospital

11. Department of Surgery, National Hospital Organization Osaka National Hospital

12. Department of Surgery, Kansai Rosai Hospital, Amagasaki

13. Department of Surgery, Faculty of Medicine, Nara Hospital, Kinki University, Ikoma

14. Department of Surgery, Osaka Rosai Hospital

15. Department of Surgery, Higashiosaka City Medical Center, Higashiosaka

16. Department of Surgery, Sakai City Medical Center, Sakai

17. Department of Surgery, Yao Municipal Hospital, Yao

18. Department of Surgery, Kinan Hospital, Tanabe

19. Department of Surgery, Hanwa Memorial Hospital

20. Department of Surgery, Minoh City Hospital, Minoh

21. Department of Surgery, Kawanishi City Hospital, Kawanishi

22. Department of Surgery, Osaka General Medical Center

23. Department of Surgery, Ikeda City Hospital, Ikeda, Japan

Abstract

Objective: Percutaneous transhepatic gallbladder aspiration (PTGBA) and/or drainage (PTGBD) are useful approaches in the management of acute cholecystitis in patients who cannot tolerate surgery because of poor general condition or severe inflammation. However, reports regarding its effect on the surgical outcomes of subsequent laparoscopic cholecystectomy (LC) are sparse. The aim of this retrospective study was to investigate the influence of PTGBA on surgical outcomes of subsequent LC by comparing the only-PTGBA group, including patients who did not need the additional-PTGBD, versus the additional-PTGBD group, including those who needed the additional-PTGBD after PTGBA. Patients and Methods: We conducted a post hoc analysis of our multi-institutional data. This study included 63 patients who underwent LC after PTGBA, and we compared the surgical outcomes between the only-PTGBA group (n = 56) and the additional-PTGBD group (n = 7). Results: No postoperative complications occurred among the 63 patients, and the postoperative hospital stay was 11 ± 12 days. Fourteen patients (22.2%) had a recurrence of cholecystitis, of whom 7 patients (11.1%) needed the additional-PTGBD after PTGBA. Significantly longer operative time (245 ± 74 vs 159 ± 65 min, P = 0.0017) and postoperative hospital stay (22 ± 27 vs 10 ± 9 d, P = 0.0118) and greater intraoperative blood loss (279 ± 385 vs 70 ± 208 mL, P = 0.0283) were observed among patients in the additional-PTGBD group compared with the only-PTGBA group, whereas the rates of postoperative complications (Clavien-Dindo grade ≥3: 0% each) and conversion to open surgery (28.6% vs 8.9%, P = 0.1705) were comparable. Conclusion: PTGBA for acute cholecystitis could result in good surgical outcomes of subsequent LC, especially regarding postoperative complications. However, we should keep in mind that the additional-PTGBD after PTGBA failure, which sometimes happened, would be associated with increased operative difficulty and longer recovery.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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