PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF CALCULOUS ACUTE CHOLECYSTITIS
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.637 |
Resumo: | Background: Laparoscopic cholecystectomy is the gold-standard treatment in acute cholecystitis. However, percutaneous cholecystostomy stands as an alternative therapeutic approach among the elderly or patients with several comorbidities. Objective: The aim of this study is to clarify the role of percutaneous cholecystostomy in calculous acute cholecystitis treatment and to elucidate about its association with the surgical treatment. Methods: In December 2016, a systematic database search on PubMed, Scopus and Web of Science was conducted to identify articles on percutaneous cholecystostomy published from January 2013 to November 2016, using the query “(acute cholecystitis OR severe cholecystitis) AND (cholecystostomy OR percutaneous cholecystostomy OR cholecystostomy tube)”. In total, 290 articles were found and then submitted to inclusion and exclusion criteria. Results: A total of 13 records involving 1130 patients from 10 different countries met all inclusion criteria and were therefore included in this systematic review. All studies found eligible concluded percutaneous cholecystostomy is a potentially safe and effective therapeutic approach among high-risk surgical patients in the setting of acute cholecystitis. Percentage of patients undergoing percutaneous cholecystostomy followed by cholecystectomy varied between 7.2% and a maximum of 66.7%, with a conversion rate fluctuating between 0.0% and 66.7%. Complication and mortality rates ranged from 2.2% to 41.7% and 0.0% and 43.2%, respectively. Conclusions: Percutaneous cholecystostomy is generally considered safe and effective among high-risk surgical patients diagnosed with acute cholecystitis. |
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PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF CALCULOUS ACUTE CHOLECYSTITISCOLECISTOSTOMIA PERCUTÂNEA NO TRATAMENTO DA COLECISTITE AGUDA LITIÁSICABackground: Laparoscopic cholecystectomy is the gold-standard treatment in acute cholecystitis. However, percutaneous cholecystostomy stands as an alternative therapeutic approach among the elderly or patients with several comorbidities. Objective: The aim of this study is to clarify the role of percutaneous cholecystostomy in calculous acute cholecystitis treatment and to elucidate about its association with the surgical treatment. Methods: In December 2016, a systematic database search on PubMed, Scopus and Web of Science was conducted to identify articles on percutaneous cholecystostomy published from January 2013 to November 2016, using the query “(acute cholecystitis OR severe cholecystitis) AND (cholecystostomy OR percutaneous cholecystostomy OR cholecystostomy tube)”. In total, 290 articles were found and then submitted to inclusion and exclusion criteria. Results: A total of 13 records involving 1130 patients from 10 different countries met all inclusion criteria and were therefore included in this systematic review. All studies found eligible concluded percutaneous cholecystostomy is a potentially safe and effective therapeutic approach among high-risk surgical patients in the setting of acute cholecystitis. Percentage of patients undergoing percutaneous cholecystostomy followed by cholecystectomy varied between 7.2% and a maximum of 66.7%, with a conversion rate fluctuating between 0.0% and 66.7%. Complication and mortality rates ranged from 2.2% to 41.7% and 0.0% and 43.2%, respectively. Conclusions: Percutaneous cholecystostomy is generally considered safe and effective among high-risk surgical patients diagnosed with acute cholecystitis.Introdução: A colecistectomia laparoscópica é considerada gold-standard no tratamento da colecistite aguda. Contudo, a colecistostomia percutânea surge como alternativa terapêutica em doentes idosos ou com várias comorbilidades. Objetivo: O objetivo deste estudo é clarificar o papel da colecistostomia percutânea no tratamento da colecistite aguda litiásica, bem como esclarecer a sua associação com o tratamento cirúrgico. Métodos: Em dezembro de 2016, foi realizada uma pesquisa sistemática nas bases de dados PubMed, Scopus e Web of Science, no sentido de identificar artigos sobre colecistostomia percutânea publicados entre janeiro de 2013 e novembro de 2016, com recurso à query “(acute cholecystitis OR severe cholecystitis) AND (cholecystostomy OR percutaneous cholecystostomy OR cholecystostomy tube)”. No total, foram encontrados 290 artigos, os quais foram submetidos a critérios de inclusão e exclusão. Resultados: No total, 13 artigos envolvendo 1130 pacientes de 10 países diferentes cumpriram todos os critérios de inclusão, tendo sido incluídos na presente revisão sistemática. Todos os estudos considerados elegíveis concluíram que a colecistostomia percutânea é uma abordagem terapêutica potencialmente segura e eficaz em pacientes de alto-risco cirúrgico no contexto de colecistite aguda. A percentagem de pacientes que receberam colecistostomia percutânea e subsequente colecistectomia variou entre 7.2% e um máximo de 66.7%, com uma taxa de conversão entre 0.0% e 66.7%. As taxas de complicações e mortalidade variaram entre 2.2% a 41.7% e entre 0.0% a 43.2%, respetivamente. Conclusões: A colecistostomia percutânea é um procedimento considerado, na generalidade, seguro e eficaz em pacientes de alto-risco cirúrgico diagnosticados com colecistite aguda.Sociedade Portuguesa de Cirurgia2020-07-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.637https://doi.org/10.34635/rpc.637Revista Portuguesa de Cirurgia; No 47 (2020): Number 47 - June 2020; 49-57Revista Portuguesa de Cirurgia; No 47 (2020): Number 47 - June 2020; 49-572183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/637https://revista.spcir.com/index.php/spcir/article/view/637/546Copyright (c) 2020 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessGomes-Rodrigues, SaraFonseca, TelmaMendes Costa, RuiAraújo Teixeira, João2024-02-22T22:32:38Zoai:revista.spcir.com:article/637Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:10:53.280746Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF CALCULOUS ACUTE CHOLECYSTITIS COLECISTOSTOMIA PERCUTÂNEA NO TRATAMENTO DA COLECISTITE AGUDA LITIÁSICA |
title |
PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF CALCULOUS ACUTE CHOLECYSTITIS |
spellingShingle |
PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF CALCULOUS ACUTE CHOLECYSTITIS Gomes-Rodrigues, Sara |
title_short |
PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF CALCULOUS ACUTE CHOLECYSTITIS |
title_full |
PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF CALCULOUS ACUTE CHOLECYSTITIS |
title_fullStr |
PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF CALCULOUS ACUTE CHOLECYSTITIS |
title_full_unstemmed |
PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF CALCULOUS ACUTE CHOLECYSTITIS |
title_sort |
PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF CALCULOUS ACUTE CHOLECYSTITIS |
author |
Gomes-Rodrigues, Sara |
author_facet |
Gomes-Rodrigues, Sara Fonseca, Telma Mendes Costa, Rui Araújo Teixeira, João |
author_role |
author |
author2 |
Fonseca, Telma Mendes Costa, Rui Araújo Teixeira, João |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Gomes-Rodrigues, Sara Fonseca, Telma Mendes Costa, Rui Araújo Teixeira, João |
description |
Background: Laparoscopic cholecystectomy is the gold-standard treatment in acute cholecystitis. However, percutaneous cholecystostomy stands as an alternative therapeutic approach among the elderly or patients with several comorbidities. Objective: The aim of this study is to clarify the role of percutaneous cholecystostomy in calculous acute cholecystitis treatment and to elucidate about its association with the surgical treatment. Methods: In December 2016, a systematic database search on PubMed, Scopus and Web of Science was conducted to identify articles on percutaneous cholecystostomy published from January 2013 to November 2016, using the query “(acute cholecystitis OR severe cholecystitis) AND (cholecystostomy OR percutaneous cholecystostomy OR cholecystostomy tube)”. In total, 290 articles were found and then submitted to inclusion and exclusion criteria. Results: A total of 13 records involving 1130 patients from 10 different countries met all inclusion criteria and were therefore included in this systematic review. All studies found eligible concluded percutaneous cholecystostomy is a potentially safe and effective therapeutic approach among high-risk surgical patients in the setting of acute cholecystitis. Percentage of patients undergoing percutaneous cholecystostomy followed by cholecystectomy varied between 7.2% and a maximum of 66.7%, with a conversion rate fluctuating between 0.0% and 66.7%. Complication and mortality rates ranged from 2.2% to 41.7% and 0.0% and 43.2%, respectively. Conclusions: Percutaneous cholecystostomy is generally considered safe and effective among high-risk surgical patients diagnosed with acute cholecystitis. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-02 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.637 https://doi.org/10.34635/rpc.637 |
url |
https://doi.org/10.34635/rpc.637 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/637 https://revista.spcir.com/index.php/spcir/article/view/637/546 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
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Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 47 (2020): Number 47 - June 2020; 49-57 Revista Portuguesa de Cirurgia; No 47 (2020): Number 47 - June 2020; 49-57 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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