Comparison of Conventional vs. Modified Seldinger Technique in Percutaneous Cholecystostomy and Evaluation of Procedural Efficiency and Safety

Ali Can Yalçin; Çağrı Danışman; Necat İslamoğlu

Makale detayları

Comparison of Conventional vs. Modified Seldinger Technique in Percutaneous Cholecystostomy and Evaluation of Procedural Efficiency and Safety

Yazarlar:

Ali Can Yalçin | Çağrı Danışman | Necat İslamoğlu

Yayıncı:

Selcuk University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Genel Tıp Dergisi Vol.34 Issue 6, pp.802-807

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001333463

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 BackgroundAims: To assess the effectiveness and safety of a modified Seldinger technique MST, bypassing consecutive dilatation steps, versus the conventional Seldinger technique CST in percutaneous cholecystectomy PC. Methods: We performed a retrospective observational cohort analysis utilizing a de-identified dataset covering a period of 2 years 2021-2023 in a significant tertiary-level healthcare facility in Turkey. Results: 152 individuals underwent successful PC. No significant differences were found regarding demographic, clinical, or laboratory characteristics between the CST and MST groups, indicating comparable patient profiles. The clinical efficacy rates were comparable between the two trial cohorts 85 in the CST versus 88.5 in the MST group; p  0.547. The MST group had significantly shorter procedural time compared to the CST 4.24  1.52 vs 2.85  1.31, p0.001. Safety profiles were similar between groups p  0.486, with minor bleeding resolving spontaneously in one patient per group and no major complications observed. Pain during the CST procedure was significantly higher than in the MST group, though this difference did not persist at the 12-hour follow-up p  0.01and 0.6, retrospectively. Conclusion: The utilization of the MST technique for PC demonstrated comparable efficacy and safety to the CST. However, MST was found to be associated with a lower incidence of complications related to the procedure, and required less time to perform, when compared to the CST.

 BackgroundAims: To assess the effectiveness and safety of a modified Seldinger technique MST, bypassing consecutive dilatation steps, versus the conventional Seldinger technique CST in percutaneous cholecystectomy PC. Methods: We performed a retrospective observational cohort analysis utilizing a de-identified dataset covering a period of 2 years 2021-2023 in a significant tertiary-level healthcare facility in Turkey. Results: 152 individuals underwent successful PC. No significant differences were found regarding demographic, clinical, or laboratory characteristics between the CST and MST groups, indicating comparable patient profiles. The clinical efficacy rates were comparable between the two trial cohorts 85 in the CST versus 88.5 in the MST group; p  0.547. The MST group had significantly shorter procedural time compared to the CST 4.24  1.52 vs 2.85  1.31, p0.001. Safety profiles were similar between groups p  0.486, with minor bleeding resolving spontaneously in one patient per group and no major complications observed. Pain during the CST procedure was significantly higher than in the MST group, though this difference did not persist at the 12-hour follow-up p  0.01and 0.6, retrospectively. Conclusion: The utilization of the MST technique for PC demonstrated comparable efficacy and safety to the CST. However, MST was found to be associated with a lower incidence of complications related to the procedure, and required less time to perform, when compared to the CST.

 BackgroundAims: To assess the effectiveness and safety of a modified Seldinger technique MST, bypassing consecutive dilatation steps, versus the conventional Seldinger technique CST in percutaneous cholecystectomy PC. Methods: We performed a retrospective observational cohort analysis utilizing a de-identified dataset covering a period of 2 years 2021-2023 in a significant tertiary-level healthcare facility in Turkey. Results: 152 individuals underwent successful PC. No significant differences were found regarding demographic, clinical, or laboratory characteristics between the CST and MST groups, indicating comparable patient profiles. The clinical efficacy rates were comparable between the two trial cohorts 85 in the CST versus 88.5 in the MST group; p  0.547. The MST group had significantly shorter procedural time compared to the CST 4.24  1.52 vs 2.85  1.31, p0.001. Safety profiles were similar between groups p  0.486, with minor bleeding resolving spontaneously in one patient per group and no major complications observed. Pain during the CST procedure was significantly higher than in the MST group, though this difference did not persist at the 12-hour follow-up p  0.01and 0.6, retrospectively. Conclusion: The utilization of the MST technique for PC demonstrated comparable efficacy and safety to the CST. However, MST was found to be associated with a lower incidence of complications related to the procedure, and required less time to perform, when compared to the CST.

 BackgroundAims: To assess the effectiveness and safety of a modified Seldinger technique MST, bypassing consecutive dilatation steps, versus the conventional Seldinger technique CST in percutaneous cholecystectomy PC. Methods: We performed a retrospective observational cohort analysis utilizing a de-identified dataset covering a period of 2 years 2021-2023 in a significant tertiary-level healthcare facility in Turkey. Results: 152 individuals underwent successful PC. No significant differences were found regarding demographic, clinical, or laboratory characteristics between the CST and MST groups, indicating comparable patient profiles. The clinical efficacy rates were comparable between the two trial cohorts 85 in the CST versus 88.5 in the MST group; p  0.547. The MST group had significantly shorter procedural time compared to the CST 4.24  1.52 vs 2.85  1.31, p0.001. Safety profiles were similar between groups p  0.486, with minor bleeding resolving spontaneously in one patient per group and no major complications observed. Pain during the CST procedure was significantly higher than in the MST group, though this difference did not persist at the 12-hour follow-up p  0.01and 0.6, retrospectively. Conclusion: The utilization of the MST technique for PC demonstrated comparable efficacy and safety to the CST. However, MST was found to be associated with a lower incidence of complications related to the procedure, and required less time to perform, when compared to the CST.

Makale detayları

Comparison of Conventional vs. Modified Seldinger Technique in Percutaneous Cholecystostomy and Evaluation of Procedural Efficiency and Safety

Yazarlar: Ali Can Yalçin | Çağrı Danışman | Necat İslamoğlu

Yayıncı: Selcuk University

Ana Başlıklar: Radyoloji ve Organ Görüntüleme

Dergi: Genel Tıp Dergisi Vol.34 Issue 6, pp.802-807

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001333463

pISSN: 2602-3741

Modified Seldinger Technique

Percutaneous Cholecystostomy

Cholecystostomy

Sayı

Yazarlar:

Ali Can Yalçin | Çağrı Danışman | Necat İslamoğlu

Yayıncı:

Selcuk University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Genel Tıp Dergisi Vol.34 Issue 6, pp.802-807

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001333463

pISSN:

2602-3741