Assessing the necessity of routine control cholecystography for improved clinical outcomes in patients with acute cholecystitis following percutaneous cholecystostomy
Öz
Purpose: This study evaluated whether routine control cholecystography is necessary after percutaneous cholecystostomy (PC) in patients with acute cholecystitis (AC) to improve patient care and optimize resource utilization.
Materials and Methods: This retrospective study included 202 out of 248 patients treated with PC for AC between 2011 and 2022, excluding cases with malignancy, biliary strictures, insufficient follow-up (<6 months), unrelated mortality, or acalculous cholecystitis. Patients were divided into two groups: Group 1 (no routine cholecystography, n=90) and Group 2 (routine cholecystography, n=112). Data on demographics, hospital stay, readmissions, recurrence, surgical procedures, mortality, and complications were analyzed.
Results: Group 1 included 90 patients (52% male, 48% female; mean age 69.2 years), and Group 2 included 112 patients with similar demographics and comorbidities. The mean hospital stay was 5.4 days in Group 1 and 5.6 days in Group 2. The readmission rate after catheter removal was 30.7%, and the recurrence rate of AC was 19.3%. Secondary interventions were significantly higher in Group 2, with 24 patients (11.9%) requiring additional cholecystostomy catheter placement during follow-up, compared to 11 (5.4%) in Group 1.
Conclusion: Routine control cholecystography does not improve patient outcomes following PC. Performing cholecystography without clinical indications may increase unnecessary interventions and result in inefficient resource utilization.
Anahtar Kelimeler
acute cholecystitis,, percutaneous cholecystostomy,, cholecystography,, biliary management,, patient outcomes,
Destekleyen Kurum
Bu çalışma Başkent Üniversitesi Tıp ve Sağlık Bilimleri Araştırma Kurulu tarafından onaylanmış ve Başkent Üniversitesi Araştırma Fonunca desteklenmiştir.
Proje Numarası
KA19/114
Etik Beyan
Etik Beyan:
Bu çalışma, Başkent Üniversitesi Tıp ve Sağlık Bilimleri Araştırma Kurulu tarafından onaylanmış olup (Proje No: KA19/114), Başkent Üniversitesi Araştırma Fonunca desteklenmiştir. Çalışma, Helsinki Deklarasyonu prensiplerine uygun olarak yürütülmüştür. Tüm katılımcılardan bilgilendirilmiş onam alınmıştır ve hasta gizliliği titizlikle korunmuştur. Çalışma kapsamında elde edilen veriler, anonimleştirilerek değerlendirilmiştir. Yazar(lar), herhangi bir çıkar çatışması bulunmadığını beyan eder.
Kaynakça
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