No benefit of PC over emergency cholecystectomy in Acute cholecystitis: Study

A total of 461 patients greater than 70 years of age treated with PC or EC between 2005 and 2016 were included in the study and retrospectively reviewed. Both techniques were compared regarding morbi-mortality, hospital stay, complications, and readmissions. A subgroup analysis in higher-risk patients were also performed and analysis is done. The parameters like 30-day mortality, 90-day mortality, length of stay (days), and readmission rate were assessed.

Following findings were noted-

a. Complications were lower for PC, but there were no significant differences in the number of severe complications.

b. Higher-risk subgroup analysis showed similar results to the whole series.

c. Patients with ACC for more than 3 days had more risk of severe complications in both groups.

Therefore, the authors concluded that "PC was associated with an increased risk of mortality at 30 and 90 days, more readmissions and longer hospital stay. Although the PC presents a lower risk of complications, the percentage of severe complications does not show significant differences."

For further reference log in to:

Garcés-Albir, M., Martín-Gorgojo, V., Perdomo, R. et al. Acute cholecystitis in elderly and high-risk surgical patients: is percutaneous cholecystostomy preferable to emergency cholecystectomy?. J Gastrointest Surg 24, 2579–2586 (2020). https://doi.org/10.1007/s11605-019-04424-5