ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2009
Systematic review of cholecystostomy as a treatment option in acute cholecystitis.
Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 154 papers, 9 of them syntheses that pooled it.
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Who cites it
154 citing papers in PubMed, 9 syntheses or guidelines pooled it, 375 citations in OpenAlex.
- Endoscopic ultrasound-guided versus percutaneous transhepatic gallbladder drainage in surgically high-risk patients with acute cholecystitis: a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Pooled it
- Percutaneous cholecystostomy in elderly patients with acute cholecystitis: a systematic review and meta-analysis.Updates in surgery · 2024Pooled it
- Percutaneous cholecystostomy versus emergency cholecystectomy for the treatment of acute calculous cholecystitis in high-risk surgical patients: a meta-analysis and systematic review.Updates in surgery · 2022Pooled it
- 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis.World journal of emergency surgery : WJES · 2020Guideline
- Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy.Surgical endoscopy · 2020Guideline
- Methodological overview of systematic reviews to establish the evidence base for emergency general surgery.The British journal of surgery · 2017Pooled it
- The Treatment of Critically Ill Patients With Acute Cholecystitis.Deutsches Arzteblatt international · 2016Pooled it
- Management of acute cholecystitis in cancer patients: a comparative effectiveness approach.Surgical endoscopy · 2014Pooled it
- US-guided trocar versus Seldinger technique for percutaneous cholecystostomy (TROSELC II trial).Abdominal radiology (New York) · 2023Trial
- Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial.BMJ (Clinical research ed.) · 2018Trial
- Trial
- Article
- Article
- Clinical Challenges in Acute Cholecystitis: Endoscopic Drainage Strategies (EUS-GBD vs. ET-GBD) in Patients with Surgical Contraindications.Journal of clinical medicine · 2026Review
- Evaluating Percutaneous Gallbladder Drainage: 10-Year Outcomes From a Large District General Hospital in the UK.Cureus · 2026Article
- Interventional Radiology in Acute Cholecystitis: A Review of Contemporary Percutaneous Strategies and Emerging Techniques.Journal of clinical medicine · 2026Review
- Seldinger versus Trocar technique for percutaneous cholecystostomy: impact of access route on procedural time and post-procedural pain.Abdominal radiology (New York) · 2026Article
- Observational
- Impact of percutaneous cholecystostomy timing on clinical outcomes in moderate-to-severe acute cholecystitis.Irish journal of medical science · 2026Article
94 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPercutaneous cholecystostomy (PC) is an established low-mortality treatment option for elderly and critically ill patients with acute cholecystitis. The primary aim of this review is to find out if there is any evidence in the literature to recommend PC rather than cholecystectomy for acute cholecystitis in the elderly population.
methodsIn April 2007, a systematic electronic database search was performed on the subject of PC and cholecystectomy in the elderly population. After exclusions, 53 studies remained, comprising 1918 patients. Three papers described randomized controlled trials (RCTs), but none compared the outcomes of PC and cholecystectomy. A total of 19 papers on mortality after cholecystectomy in patients aged >65 years were identified.
resultsSuccessful intervention was seen in 85.6% of patients with acute cholecystitis. A total of 40% of patients treated with PC were later cholecystectomized, with a mortality rate of 1.96%. Procedure mortality was 0.36%, but 30-day mortality rates were 15.4 % in patients treated with PC and 4.5% in those treated with acute cholecystectomy (P < 0.001).
conclusionsThere are no controlled studies evaluating the outcome of PC vs. cholecystectomy and the papers reviewed are of evidence grade C. It is not possible to make definitive recommendations regarding treatment by PC or cholecystectomy in elderly or critically ill patients with acute cholecystitis. Low mortality rates after cholecystectomy in elderly patients with acute cholecystitis have been reported in recent years and therefore we believe it is time to launch an RCT to address this issue.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.