Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Am Surg. 2023 Jul;89(7):3298-3300. doi: 10.1177/00031348231157834. Epub 2023 Feb 28.
Percutaneous cholecystostomy (PC) tube insertion has been shown to be an effective treatment of acute cholecystitis (AC) as a temporary step to subsequent laparoscopic cholecystectomy (LC). However, the optimal time gap between PC implantation and LC has not been identified. Adult patients who underwent PC followed by LC for the treatment of AC between 2016 and 2020 were retrospectively reviewed and analyzed. One hundred twelve patients, consisting of 59.8% males, were included and received LC after a median of 65 [48 - 96.5] days following the PC placement. No deaths or reoperations occurred within 30 days, but 16 (14.3%) patients were readmitted, and 16 (14.3%) required subsequent reintervention. Although a longer interval between PC and LC had no effect on perioperative outcomes, it was associated with considerably longer intensive care unit (ICU) stay. According to these findings, patients may benefit from early LC following PC for the treatment of AC.
经皮胆囊造口术（PC）管插入已被证明是治疗急性胆囊炎（AC）的有效方法，可作为随后进行腹腔镜胆囊切除术（LC）的临时步骤。然而，PC 植入与 LC 之间的最佳时间间隔尚未确定。回顾性分析了 2016 年至 2020 年间接受 PC 后行 LC 治疗 AC 的成年患者。共纳入 112 例患者，其中 59.8%为男性，在 PC 放置后中位数为 65 [48-96.5] 天接受 LC。30 天内无死亡或再次手术，但 16 例（14.3%）患者再次入院，16 例（14.3%）需要再次介入治疗。虽然 PC 和 LC 之间的间隔时间延长对围手术期结果没有影响，但与 ICU 停留时间显著延长有关。根据这些发现，PC 治疗 AC 后早期行 LC 可能对患者有益。
