作者
Bradley R Hall, Priscila R Armijo, Crystal Krause, Tyler Burnett, Dmitry Oleynikov
发表日期
2018/7/1
期刊
The American Journal of Surgery
卷号
216
期号
1
页码范围
116-119
出版商
Elsevier
简介
Background
The role of percutaneous cholecystostomy (PC) is undefined in patients with multiple comorbidities presenting with emergent calculous cholecystitis (CC). This study compared outcomes between PC, laparoscopic (LC), and open cholecystectomy (OC).
Methods
The Vizient UHC database was queried for high-risk patients with CC who underwent PC, LC, OC, or laparoscopic converted to open cholecystectomy (CONV). Demographics, outcomes, mortality, length of stay (LOS), and direct cost were compared between the groups.
Results
LC was the most common approach with the lowest risk of death, complications, LOS, and cost. Complication risk was highest in OC. Nearly 20% of patients underwent PC. Complication rate, LOS, infection, aspiration pneumonia, and mortality were higher in PC. Direct cost was lowest in LC, followed by CONV, PC, and OC.
Conclusions
Emergent cholecystectomy for CC in …
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BR Hall, PR Armijo, C Krause, T Burnett, D Oleynikov - The American Journal of Surgery, 2018