Abstract | BACKGROUND: METHODS: A retrospective review of patients who underwent PCT placement for AAC or ACC between 6/1/2007 and 5/31/2019 was performed. Primary outcome was recurrent cholecystitis and interval cholecystectomy for patients surviving 30 days after PCT placement. Secondary outcome was 30 day mortality. A cox regression model calculated the adjusted hazard ratio (AHR) for the outcomes. RESULTS: Eighty-four AAC and 85 ACC patients underwent PCT placement. Compared to ACC patients, more AAC patients were male (72.6 vs. 48.2%; p < 0.01), younger (median age 62 vs. 73 years; p < 0.01), and required intensive care (69.0 vs. 52.9%; p = 0.04), with lower median Charlson Comorbidity Index (4.0 vs. 6.0; p < 0.01). 30 day mortality was higher among AAC patients than ACC patients (45.2 vs. 21.2%; p < 0.01). 2/24 (8.3%) AAC patients and 5/31 (16.1%) ACC patients developed recurrent cholecystitis at a median 208.0 days (IQR:64.0-417.0) after PCT placement and 115.0 days (IQR:7.0-403.0) following PCT removal. Cox regression analysis demonstrated that AAC patients had lower likelihood of interval cholecystectomy compared to ACC patients (AHR 2.35; 95% CI:1.11,4.96). CONCLUSION: Recurrent cholecystitis is rare in patients surviving 30 days following PCT placement. When compared with ACC patients, fewer AAC patients require cholecystectomy.
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Authors | Stephanie Y Chen, Raymond Huang, Joseph Kallini, Ashley M Wachsman, Richard J Van Allan, Daniel R Margulies, Edward H Phillips, Galinos Barmparas |
Journal | World journal of surgery
(World J Surg)
Vol. 46
Issue 8
Pg. 1886-1895
(08 2022)
ISSN: 1432-2323 [Electronic] United States |
PMID | 35430647
(Publication Type: Journal Article)
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Copyright | © 2022. The Author(s) under exclusive licence to Société Internationale de Chirurgie. |
Topics |
- Cholecystectomy
- Cholecystitis
(surgery)
- Cholecystitis, Acute
(complications, surgery)
- Cholecystostomy
(adverse effects)
- Female
- Humans
- Male
- Middle Aged
- Retrospective Studies
- Treatment Outcome
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