Cholecystectomy versus percutaneous cholecystostomy drainage in critically ill patients with acute calculous syndrome: a comparative study

• DOI: 10.4103/ejs.ejs_104_18
• Publication Date: 2019-02-28T12:39:53Z
• Authors: Amro El Hadidi; Ahmed Negm; MohamedAbdel Halim; Magdy Basheer; Mohamed Samir; MohamedS.A Attia
• Keywords: Cholecystostomy

Background Acute calculous cholecystitis is a common disease presentation in critically ill patients. It associated with increased mortality and morbidity rates case of insufficient treatment. However, the best approach to management still debatable. Patients methods This retrospective analysis prospectively designed study for evaluation different planes patients presented acute single university hospital from 2013-2017. The included all as main reason patient deterioration admission also those already admitted ICU consulted other departments symptoms cholecystitis. Preoperative data operative outcomes were analyzed. Results A total 225 (median age68 years; range=57–91 years) included. Overall, 28.9% (65 patients) underwent percutaneous cholecystostomy drainage (PCD), 34.2% (77 open cholecystectomy (OC), 36.9% (83 laparoscopic cholecystectomy. patients’ demographics comparable groups, except age BMI. Laparoscopic was successful 85.5% Nine PCD group needed completion OC (13.8%). comorbidities similar studied groups. postoperative infection high (P=0.013). overall 4%, highest value group, no significant difference observed among groups (0.197). Hospital stays (P=0.001). Conclusion Open approaches are safe have results PCD. advantage eradication cannot be overlooked. better view short stay rate.