M Elsharif1, A Forouzanfar2, K Oaikhinan1, Niraj Khetan1. 1. Department of General Surgery, Doncaster Royal Infirmary, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust , Doncaster , UK. 2. Department of General Surgery, Northern General Hospital , Sheffield , UK.
Abstract
INTRODUCTION: Percutaneous cholecystostomy tube drainage has played a vital role in management of cholecystitis in patients where surgery is not appropriate. However, management differs from unit to unit and even between different consultants in the same unit. We conducted this systematic review to understand which of these resulted in the best patient outcomes. METHODS: We conducted a systematic review using the PubMed database for publication between January 2006 to December 2016. Keyword variants of 'cholecystostomy' and 'cholecystitis' were combined to identify potential relevant papers for inclusion. FINDINGS: We identified 46 studies comprising a total of 312,085 patients from 20 different countries. These papers were reviewed, critically appraised and summarised in table format. Percutaneous cholecystostomy tube drainage is an important treatment modality with an excellent safety profile. It has been used successfully both as a definitive procedure and as a bridge to surgery. There continues to be great variation, however, when it comes to the indications, timing and management of these drains. As far as we are aware, this is the only systematic review to cover the past 10 years. It provides a much-needed update, considering all the technological development and new treatment options in laparoscopic surgery and interventional radiology.
INTRODUCTION: Percutaneous cholecystostomy tube drainage has played a vital role in management of cholecystitis in patients where surgery is not appropriate. However, management differs from unit to unit and even between different consultants in the same unit. We conducted this systematic review to understand which of these resulted in the best patient outcomes. METHODS: We conducted a systematic review using the PubMed database for publication between January 2006 to December 2016. Keyword variants of 'cholecystostomy' and 'cholecystitis' were combined to identify potential relevant papers for inclusion. FINDINGS: We identified 46 studies comprising a total of 312,085 patients from 20 different countries. These papers were reviewed, critically appraised and summarised in table format. Percutaneous cholecystostomy tube drainage is an important treatment modality with an excellent safety profile. It has been used successfully both as a definitive procedure and as a bridge to surgery. There continues to be great variation, however, when it comes to the indications, timing and management of these drains. As far as we are aware, this is the only systematic review to cover the past 10 years. It provides a much-needed update, considering all the technological development and new treatment options in laparoscopic surgery and interventional radiology.
Authors: Byung Hyo Cha; Ha Hun Song; Young Nam Kim; Won Jung Jeon; Sang Jin Lee; Jin Dong Kim; Hak Hyun Lee; Ban Seok Lee; Sang Hyub Lee Journal: Korean J Gastroenterol Date: 2014-01-25
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Authors: José Manuel Aranda-Narváez; Luis Tallón-Aguilar; Felipe Pareja-Ciuró; Gonzalo Martín-Martín; Antonio Jesús González-Sánchez; Ignacio Rey-Simó; Gonzalo Tamayo-Medel; Carlos Yánez-Benítez; David Costa-Navarro; Soledad Montón-Condón; Salvador Navarro-Soto; Fernando Turégano-Fuentes; María Dolores Pérez-Díaz; José Ceballos-Esparragón; José María Jover-Navalón; José María Balibrea; Salvador Morales-Conde Journal: Cir Esp (Engl Ed) Date: 2020-04-29