Impact of B-mode-ultrasound-guided Transhepatic and Transperitoneal Cholecystostomy Tube Placement on Laparoscopic Cholecystectomy

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2020 Oct 7

PMID 33024400

Citations 1

Authors

Peng Liu

Che Liu

Yin-Tao Wu

Jian-Yong Zhu

Wen-Chao Zhao

Jing-Bo Li

Hong Zhang

Ying-Xiang Yang

Affiliations

Soon will be listed here.

Abstract

Background: B-mode-ultrasound-guided percutaneous cholecystostomy (PC) may be performed by a transhepatic or transperitoneal approach, called percutaneous transhepatic gallbladder drainage (PHGD) and percutaneous transperitoneal gallbladder drainage (PPGD), respectively. We compared the impact of PC related to the route of catheter placement on subsequent laparoscopic cholecystectomy (LC).

Aim: To compare the impact of PC related to the route of catheter placement on subsequent LC.

Methods: We retrospectively studied 103 patients with acute calculous cholecystitis who underwent scheduled LC after PC between January 2010 and January 2019. Group I included 58 patients who underwent scheduled LC after PHGD. Group II included 45 patients who underwent scheduled LC after PPGD. Clinical outcomes were analyzed according to each group.

Results: Baseline demographic characteristics did not differ significantly between both groups ( > 0.05). Both PHGD and PPGD were able to quickly resolve cholecystitis sepsis. Group I showed significantly higher efficacy than group II in terms of lower pain score during puncture (3.1 4.5; = 0.001) and at 12 h follow-up (1.5 2.2; = 0.001), lower rate of fever within 24 h after PC (13.8% 42.2%; = 0.001), shorted operation duration (118.3 139.6 min; = 0.001), lower amount of intraoperative bleeding (72.1 109.4 mL; = 0.001) and shorter length of hospital stay (14.3 d 18.0 d; = 0.001). However, group II had significantly lower rate of local bleeding at the PC site (2.2% 20.7%; = 0.005) and lower rate of severe adhesion (33.5% 55.2%; = 0.048). No significant differences were noted between both groups regarding the conversion rate to laparotomy, rate of subtotal cholecystectomy, complications and pathology.

Conclusion: B-mode-ultrasound-guided PHGD is superior to PPGD followed by LC for treatment of acute calculous cholecystitis, with shorter operating time, minimal amount of intraoperative bleeding and short length of hospital stay.

Citing Articles

Evaluating effectiveness and safety of combined percutaneous transhepatic gallbladder drainage and laparoscopic cholecystectomy in acute cholecystitis patients: Meta-analysis.

Li Y, Xiao W, Li X, Dong H World J Gastrointest Surg. 2024; 16(5):1407-1419.

PMID: 38817274 PMC: 11135318. DOI: 10.4240/wjgs.v16.i5.1407.

References

Hu Y, Pan J, Tong X, Li K, Chen S, Huang Y . Efficacy and safety of B-mode ultrasound-guided percutaneous transhepatic gallbladder drainage combined with laparoscopic cholecystectomy for acute cholecystitis in elderly and high-risk patients. BMC Gastroenterol. 2015; 15:81. PMC: 4496925. DOI: 10.1186/s12876-015-0294-2. View

Thangavelu A, Rosenbaum S, Thangavelu D . Timing of Cholecystectomy in Acute Cholecystitis. J Emerg Med. 2018; 54(6):892-897. DOI: 10.1016/j.jemermed.2018.02.045. View

Garber S, Mathieson J, Cooperberg P, Macfarlane J . Percutaneous cholecystostomy: safety of the transperitoneal route. J Vasc Interv Radiol. 1994; 5(2):295-8. DOI: 10.1016/s1051-0443(94)71486-x. View

Sakuramoto S, Sato S, Okuri T, Sato K, HIKI Y, Kakita A . Preoperative evaluation to predict technical difficulties of laparoscopic cholecystectomy on the basis of histological inflammation findings on resected gallbladder. Am J Surg. 2000; 179(2):114-21. DOI: 10.1016/s0002-9610(00)00248-8. View

Yamada K, Yamashita Y, Yamada T, Takeno S, Noritomi T . Optimal timing for performing percutaneous transhepatic gallbladder drainage and subsequent cholecystectomy for better management of acute cholecystitis. J Hepatobiliary Pancreat Sci. 2015; 22(12):855-61. DOI: 10.1002/jhbp.294. View

Gulaya K, Desai S, Sato K . Percutaneous Cholecystostomy: Evidence-Based Current Clinical Practice. Semin Intervent Radiol. 2016; 33(4):291-296. PMC: 5088094. DOI: 10.1055/s-0036-1592326. View

Han I, Jang J, Kang M, Lee K, Lee S, Kim S . Early versus delayed laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage. J Hepatobiliary Pancreat Sci. 2011; 19(2):187-93. DOI: 10.1007/s00534-011-0458-6. View

Okamoto K, Suzuki K, Takada T, Strasberg S, Asbun H, Endo I . Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci. 2017; 25(1):55-72. DOI: 10.1002/jhbp.516. View

Yokoe M, Hata J, Takada T, Strasberg S, Asbun H, Wakabayashi G . Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2017; 25(1):41-54. DOI: 10.1002/jhbp.515. View

10.

Carti E, Kutluturk K . Should percutaneous cholecystostomy be used in all cases difficult to manage?. Ulus Travma Acil Cerrahi Derg. 2020; 26(2):186-190. DOI: 10.14744/tjtes.2020.73557. View

11.

Altieri M, Bevilacqua L, Yang J, Yin D, Docimo S, Spaniolas K . Cholecystectomy following percutaneous cholecystostomy tube placement leads to higher rate of CBD injuries. Surg Endosc. 2018; 33(8):2686-2690. DOI: 10.1007/s00464-018-6559-4. View

12.

Flum D, Koepsell T, Heagerty P, Sinanan M, Dellinger E . Common bile duct injury during laparoscopic cholecystectomy and the use of intraoperative cholangiography: adverse outcome or preventable error?. Arch Surg. 2001; 136(11):1287-92. DOI: 10.1001/archsurg.136.11.1287. View

13.

Tsai K, Hsieh P . Reduced port number in laparoscopic cholecystectomy for acute cholecystitis following percutaneous transhepatic gallbladder drainage. Ann R Coll Surg Engl. 2017; 99(8):658-659. PMC: 5696913. DOI: 10.1308/rcsann.2017.0048. View

14.

Beland M, Patel L, Ahn S, Grand D . Image-Guided Cholecystostomy Tube Placement: Short- and Long-Term Outcomes of Transhepatic Versus Transperitoneal Placement. AJR Am J Roentgenol. 2018; 212(1):201-204. DOI: 10.2214/AJR.18.19669. View

15.

Radder R . Ultrasonically guided percutaneous catheter drainage for gallbladder empyema. Diagn Imaging. 1980; 49(6):330-3. View

16.

Loberant N, Notes Y, Eitan A, Yakir O, Bickel A . Comparison of early outcome from transperitoneal versus transhepatic percutaneous cholecystostomy. Hepatogastroenterology. 2010; 57(97):12-7. View

17.

El-Gendi A, El-Shafei M, Emara D . Emergency Versus Delayed Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage in Grade II Acute Cholecystitis Patients. J Gastrointest Surg. 2016; 21(2):284-293. DOI: 10.1007/s11605-016-3304-y. View

18.

Mou D, Tesfasilassie T, Hirji S, Ashley S . Advances in the management of acute cholecystitis. Ann Gastroenterol Surg. 2019; 3(3):247-253. PMC: 6524093. DOI: 10.1002/ags3.12240. View

19.

Masrani A, Young D, Karageorgiou J, Mani N, Picus D, Kim S . Management algorithm of acute cholecystitis after percutaneous cholecystostomy catheter placement based on outcomes from 377 patients. Abdom Radiol (NY). 2020; 45(4):1193-1197. DOI: 10.1007/s00261-020-02449-y. View

20.

Kim H, Son B, Yoo C, Shin J . Impact of delayed laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for patients with complicated acute cholecystitis. Surg Laparosc Endosc Percutan Tech. 2009; 19(1):20-4. DOI: 10.1097/SLE.0b013e318188e2fe. View