Assessing the necessity of routine control cholecystography for improved clinical outcomes in patients with acute cholecystitis following percutaneous cholecystostomy

Mustafa Mazıcan; İsmail Karluka; İlker Murat Arer

Makale detayları

Assessing the necessity of routine control cholecystography for improved clinical outcomes in patients with acute cholecystitis following percutaneous cholecystostomy

Yazarlar:

Mustafa Mazıcan | İsmail Karluka | İlker Murat Arer

Yayıncı:

Cukurova University

Ana Başlıklar:

Genel Cerrahi | Radyoloji ve Organ Görüntüleme

Dergi:

Cukurova Medical Journal Vol.49 Issue 4, pp.1067-1074

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001329057

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 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, n90 and Group 2 routine cholecystography, n112. 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.

 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, n90 and Group 2 routine cholecystography, n112. 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.

 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, n90 and Group 2 routine cholecystography, n112. 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.

 Amaç: Bu çalışma, akut kolesistit AK hastalarında perkütan kolesistostomi PK sonrası rutin kontrol kolesistografinin gerekli olup olmadığını değerlendirerek hasta bakımını iyileştirme ve kaynak kullanımını optimize etme üzerindeki etkilerini incelemeyi amaçlamıştır. Gereç ve Yöntem: Bu retrospektif çalışmada, 2011-2022 yılları arasında AK nedeniyle PK uygulanan 248 hastadan 202si dahil edildi. Malignite, biliyer darlık, yetersiz takip 6 ay, AK ile ilişkili olmayan ölümler ve akalküloz kolesistit vakaları çalışma dışı bırakıldı. Hastalar, rutin kontrol kolesistografi yapılmayan Grup 1, n90 ve yapılan Grup 2, n112 olmak üzere iki gruba ayrıldı. Demografik veriler, hastane yatış süresi, tekrar başvurular, nüks oranları, cerrahi işlemler, mortalite ve komplikasyonlar analiz edildi. Bulgular: Grup 1de 90 hasta 52 erkek, 48 kadın; ortalama yaş 69,2 yıl, Grup 2de 112 hasta benzer demografik ve ek hastalık özellikleriyle yer aldı. Ortalama hastanede kalış süresi Grup 1de 5,4 gün, Grup 2de 5,6 gün olarak belirlendi. Kateter çekimi sonrası tekrar başvuru oranı 30,7, AK nüks oranı 19,3 olarak tespit edildi. Sekonder girişimler Grup 2de anlamlı olarak daha yüksekti; takip sırasında 24 hasta 11,9 ek kolesistostomi kateteri gerektirirken, Grup 1de bu sayı 11 hasta 5,4 olarak bulundu. Sonuç: Rutin kontrol kolesistografi, PK sonrası hasta sonuçlarına katkı sağlamamıştır. Klinikten bağımsız kolesistografi kararı, gereksiz girişimlerin ve kaynakların israfında artışa yol açabilir.

Makale detayları

Assessing the necessity of routine control cholecystography for improved clinical outcomes in patients with acute cholecystitis following percutaneous cholecystostomy

Yazarlar:

Mustafa Mazıcan | İsmail Karluka | İlker Murat Arer

Yayıncı:

Cukurova University

Ana Başlıklar:

Genel Cerrahi | Radyoloji ve Organ Görüntüleme

Dergi:

Cukurova Medical Journal Vol.49 Issue 4, pp.1067-1074

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001329057

pISSN:

2602-3032

acute cholecystitis,

percutaneous cholecystostomy,

cholecystography,

biliary management,

patient outcomes,Akut kolesistit

perkütan kolesistostomi

kolesistografi

biliyer yönetim

hasta sonuçları

Sayı

Makale detayları

Yazarlar: Mustafa Mazıcan | İsmail Karluka | İlker Murat Arer

Yayıncı: Cukurova University

Ana Başlıklar: Genel Cerrahi | Radyoloji ve Organ Görüntüleme

Dergi: Cukurova Medical Journal Vol.49 Issue 4, pp.1067-1074

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001329057

pISSN: 2602-3032

Sayı

Yazarlar:

Mustafa Mazıcan | İsmail Karluka | İlker Murat Arer

Yayıncı:

Cukurova University

Ana Başlıklar:

Genel Cerrahi | Radyoloji ve Organ Görüntüleme

Dergi:

Cukurova Medical Journal Vol.49 Issue 4, pp.1067-1074

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001329057

pISSN:

2602-3032