Efficacy of early laparoscopic cholecystectomy compared with percutaneous transhepatic gallbladder drainage in treating acute calculous cholecystitis in elderly patients

Huang, Wenhao1; Xu, Haisong1; Guo, Yuehua2,3; Li, Mingyue2,3; Peng, Gongze2,3; Wu, Tianchong2,3,4

2023-07-01

10.1080/00015458.2023.2232672

ACTA CHIRURGICA BELGICA   影响因子和分区

0001-5458

2577-0160

BackgroundAcute calculous cholecystitis is a common acute disease in elderly patients. This study aimed to evaluate the efficacy of early laparoscopic cholecystectomy (ELC) compared to percutaneous transhepatic gallbladder drainage (PTGD) for treating acute calculous cholecystitis in elderly patients.MethodsThis retrospective study compared the clinical outcomes of two groups of elderly patients treated with ELC (group A) and PTGD (group B) from January 2018 to December 2021. Preoperative clinical characteristics and postoperative treatment outcomes were analyzed for both groups.ResultsThere were no statistically significant differences in preoperative clinical characteristics between the ELC and PTGD groups. ELC took longer to perform (69.8 & PLUSMN; 15.9 min vs. 29.6 & PLUSMN; 5.3 min, p < 0.001) but resulted in a significantly shorter duration of pain (1.9 & PLUSMN; 0.9 days vs. 3.9 & PLUSMN; 1.0 days, p < 0.001) and hospital stay (6.3 & PLUSMN; 2.5 days vs. 9.9 & PLUSMN; 3.6 days, p < 0.001), and a lower rate of sepsis (3.4% vs. 16.9%, p < 0.019). Time to soft diet was faster in the ELC group (1.5 & PLUSMN; 0.9 days vs. 3.0 & PLUSMN; 1.6 days, p < 0.001). Fewer patients in the ELC group experienced surgical reintervention than in the PTGD group (0% vs. 5.6%, p = 0.043). The incidence of postoperative complications and readmission rates in the ELC group were significantly lower than those in the PTGD group (ELC, 3.6%; PTGD, 25.4%, p = 0.001).ConclusionsELC is an effective treatment option for acute calculous cholecystitis in elderly patients, and has the added benefits of low postoperative complication rates, rapid recovery, shorter duration of pain, and excellent curative effects as compared to PTGD.

Elderly acute calculous cholecystitis (ACC) Early laparoscopic cholecystectomy (ELC) percutaneous transhepatic gallbladder drainage (PTGD) >

SCI

英语

通讯

Science and Technology Innovation Foundation of Shenzhen["JCYJ20180228164603659","JCYJ20220530152200001"] ; Shenzhen Key Medical Discipline Construction Fund[SYLCYJ202003] ; Clinical Research and cultivation project of Shenzhen People's Hospital[SZXK015]

Surgery

Surgery

WOS:001047947000001

TAYLOR & FRANCIS LTD

Web of Science

1.Jinan Univ, Clin Med Coll 2, Shenzhen, Peoples R China
2.Jinan Univ, Shenzhen Peoples Hosp, Dept Hepatobiliary & Pancreat Surg, Clin Med Coll 2, Shenzhen, Peoples R China
3.Southern Univ Sci & Technol, Affiliated Hosp 1, Shenzhen, Peoples R China
4.Shenzhen Peoples Hosp, Dept Hepatobiliary & Pancreat Surg, Shenzhen 518020, Guangdong, Peoples R China

Huang, Wenhao,Xu, Haisong,Guo, Yuehua,et al. Efficacy of early laparoscopic cholecystectomy compared with percutaneous transhepatic gallbladder drainage in treating acute calculous cholecystitis in elderly patients[J]. ACTA CHIRURGICA BELGICA,2023.

Huang, Wenhao,Xu, Haisong,Guo, Yuehua,Li, Mingyue,Peng, Gongze,&Wu, Tianchong.(2023).Efficacy of early laparoscopic cholecystectomy compared with percutaneous transhepatic gallbladder drainage in treating acute calculous cholecystitis in elderly patients.ACTA CHIRURGICA BELGICA.

Huang, Wenhao,et al."Efficacy of early laparoscopic cholecystectomy compared with percutaneous transhepatic gallbladder drainage in treating acute calculous cholecystitis in elderly patients".ACTA CHIRURGICA BELGICA (2023).