Evidence map›Paper›PMID 28224465›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017

Long-Term Outcomes Following Percutaneous Cholecystostomy Tube Placement for Treatment of Acute Calculous Cholecystitis.

Donna Marie L Alvino, Zhi Ven Fong, Colin J McCarthy, George Velmahos, Keith D Lillemoe, Peter R Mueller, Peter J Fagenholz

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Cholecystostomy tube management in acute cholecystitis: a population-based cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  10. Article
  11. Article
  12. Percutaneous Transgastric Endoscopic Interventions.Seminars in interventional radiology · 2025
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Observational
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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

7 authors.

Donna Marie L AlvinoDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Zhi Ven FongDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Colin J McCarthyDepartment of Interventional Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
George VelmahosDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Keith D LillemoeDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Peter R MuellerDepartment of Interventional Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Peter J FagenholzDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. pfagenholz@mgh.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPercutaneous cholecystostomy tube (PCT) placement is considered a safe alternative to cholecystectomy for the treatment of acute calculous cholecystitis (ACC), but data regarding long-term outcomes following PCT are limited.

methodsWe retrospectively reviewed our institutional experience of patients undergoing PCT for ACC between 1997 and 2015. Recurrent biliary events were defined as cholecystitis, cholangitis, or gallstone pancreatitis.

resultsPCT was placed for 288 patients with ACC. Mean age and age-adjusted Charlson comorbidity index were 72 ± 15 years and 5.3 ± 2.4, respectively. Following PCT placement, 91% of patients successfully resolved their episode of ACC. PCT dysfunction occurred in 132 patients (46%), with 80 patients (28%) requiring re-intervention, while 7% developed procedure-related complications. Interval cholecystectomy reduced the risk of recurrent biliary events to 7% from 21% (p = 0.002). Cholecystectomy was completed laparoscopically in 45% of patients receiving an interval operation vs. 22% of those undergoing urgent surgery for PCT failure or recurrent biliary event (p = 0.03).

conclusionsPCT placement is a highly successful treatment for acute calculous cholecystitis and is associated with low complication rate, but high rate of tube dysfunction requiring frequent re-intervention. Interval cholecystectomy is associated with a decreased likelihood of recurrent biliary events and increased likelihood of successful laparoscopic completion.

Indexed as

AgedAged, 80 and overCholecystectomyCholecystitis, AcuteCholecystostomyCholelithiasisFemaleHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresRecurrenceRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeCholecystitisCholecystostomyGallstonesLaparoscopic cholecystectomy

Identifiers

PMID28224465

What OpenQuestion holds

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Registered trials

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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.