Year 2019 / Volume 111 / Number 3
Letter
Subtotal cholecystectomy versus cholecystostomy

248-249

DOI: 10.17235/reed.2018.5845/2018

Sayantan Bhattacharya,

Abstract
Emergency laparoscopic cholecystectomy (LC) is associated with a higher morbidity and mortality, as compared to elective LC. A two-fold increase in 30-day re-admission after LC was associated with two or more pre-operative admissions with symptoms of cholecystitis, as opposed to index-admission-LC (IALC). This was presumably because of more inflammation due to repeated attacks of cholecystitis in the former cohort, making gallbladders more “difficult”. Inflamed gallbladders with higher Nassar-scores (scores 3 and 4) also have significantly raised complication rates.
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References
1. CholeS Study Group, W. M. R. C. Population-based cohort study of outcomes following cholecystectomy for benign gallbladder diseases. The British journal of surgery 103, 1704-1715, doi:10.1002/bjs.10287 (2016).
2. Elshaer, M. Gravante G, Thomas K, et al. Subtotal cholecystectomy for "difficult gallbladders": systematic review and meta-analysis. JAMA surgery 150, 159-168, doi:10.1001/jamasurg.2014.1219 (2015).
3. Hasbahceci, M., Cengiz, M. B., Malya, F. U., et al. The impact of a percutaneous cholecystostomy catheter in situ until the time of cholecystectomy on the development of recurrent acute cholecystitis: a historical cohort study. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 110, doi:10.17235/reed.2018.5644/2018 (2018).
4. Gurusamy, K. S., Rossi, M. & Davidson, B. R. Percutaneous cholecystostomy for high-risk surgical patients with acute calculous cholecystitis. The Cochrane database of systematic reviews, CD007088, doi:10.1002/14651858.CD007088.pub2 (2013).
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Bhattacharya S. Subtotal cholecystectomy versus cholecystostomy. 5845/2018


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Publication history

Received: 25/07/2018

Accepted: 02/08/2018

Online First: 19/11/2018

Published: 04/03/2019

Article Online First time: 117 days

Article editing time: 222 days


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