Evidence map›Paper›PMID 25848180›Full record

ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons

Tube cholecystostomy before cholecystectomy for the treatment of acute cholecystitis.

Kei Suzuki, Margaret Bower, Sebastiano Cassaro, Rajesh I Patel, Martin S Karpeh, I Michael Leitman

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03024892 (Intra-gallbladder or Systemic Indocyanide Green Injection Facilitate Cholecystectomy in Acute Cholecystitis , Gallstone and Gallbladder Polyp Patients.), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03024892 naunknown statusnot on this map

Intra-gallbladder or Systemic Indocyanide Green Injection Facilitate Cholecystectomy in Acute Cholecystitis , Gallstone and Gallbladder Polyp Patients.

TypeinterventionalSponsorChang Gung Memorial HospitalRan2015 to 2018Enrolled600ConditionsFluorenscent Image Guided Surgery, Indocyanide GreenArmsICG GB, ICG IV, LC conventional, LC conventional and IOC
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
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  8. Review
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  12. Percutaneous cholecystostomy for severe (Tokyo 2013 stage III) acute cholecystitis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019
    Article
  13. Review
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  15. Article
  16. Article
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  18. A Management Algorithm for High-Grade Acute Cholecystitis in High-Risk Patients.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Kei SuzukiDepartment of Surgery, Mount Sinai Beth Israel Medical Center, NY, New York, USA.
Margaret BowerDepartment of Surgery, Mount Sinai Beth Israel Medical Center, NY, New York, USA.
Sebastiano CassaroDepartment of Surgery, Mount Sinai Beth Israel Medical Center, NY, New York, USA.
Rajesh I PatelDepartments of Interventional Radiology, Mount Sinai Beth Israel Medical Center, NY, New York, USA.
Martin S KarpehDepartment of Surgery, Mount Sinai Beth Israel Medical Center, NY, New York, USA.
I Michael LeitmanDepartment of Surgery, Mount Sinai Beth Israel Medical Center, NY, New York, USA.
Mount Sinai Beth Israel · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesPercutaneous cholecystostomy is currently indicated for patients with cholecystitis who might be poor candidates for operative cholecystectomy. We performed a study to evaluate the long-term outcome of patients undergoing emergent tube cholecystostomy.

methodsThis study was a retrospective chart review of patients who underwent tube cholecystostomy from July 1, 2005, to July 1, 2012.

resultsDuring the study period, 82 patients underwent 125 cholecystostomy tube placements. Four patients (5%) died during the year after tube placement. The mean hospital length of stay for survivors was 8.8 days (range, 1-59 days). Twenty-eight patients (34%) required at least 1 additional percutaneous procedure (range, 1-6) for gallbladder drainage. Twenty-nine patients (34%) ultimately underwent cholecystectomy. Surgery was performed a mean of 7 weeks after cholecystostomy tube placement. Laparoscopic cholecystectomy was attempted in 25 operative patients but required conversion to an open approach in 8 cases (32%). In another 4 cases, planned open cholecystectomy was performed. Major postoperative complications were limited to 2 patients with postoperative common bile duct obstruction requiring endoscopic retrograde cholangiopancreatography, 1 patient requiring a return to the operating room for hemoperitoneum, and 2 patients with bile leak from the cystic duct stump.

conclusionsIn high-risk patients receiving cholecystostomy tubes for acute cholecystitis, only about one third will undergo surgical cholecystectomy. Laparoscopic cholecystectomy performed in this circumstance has a higher rate of conversion to open surgery and higher hepatobiliary morbidity rate.

Indexed as

Cholecystectomy, LaparoscopicCholecystostomyAdultAgedAged, 80 and overCholecystitis, AcuteFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAcute cholecystitisCholecystectomyPercutaneous cholecystostomy

Identifiers

PMID25848180
PMCPMC4376213
OpenAlexW2318009444

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.