ArticleBMC surgery2023
Increased difficulty and complications of delayed laparoscopic cholecystectomy following percutaneous transhepatic gallbladder drainage in acute cholecystitis: a retrospective study.
Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Impact of puncture site location in percutaneous transhepatic gallbladder drainage on outcomes of subsequent laparoscopic cholecystectomy: a multicenter retrospective clinical study.Surgical endoscopy · 2026Article
- Predicting the surgical difficulty of laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage in patients with acute cholecystitis: a multi-center study.Updates in surgery · 2026Article
- Timing of laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage and the risk of bailout surgery: a restricted cubic spline analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Predicting the surgical difficulty of laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage in patients with acute cholecystitis: a multi-center study.Updates in surgery · 2026Article
- Early laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage in acute cholecystitis is appropriate and safe: an inverse probability of treatment weighting analysis.European journal of medical research · 2025Article
- Article
- Machine learning algorithms as early diagnostic tools for prolonged operative time in patients with fluorescent laparoscopic cholecystectomy: a retrospective cohort study.Frontiers in surgery · 2025Article
- Is the presence of a catheter and time of surgery effective in conversion to open surgery in interval cholecystectomies after percutaneous drainage in acute cholecystitis?Revista da Associacao Medica Brasileira (1992) · 2025Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
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Abstract
backgroundPercutaneous transhepatic gallbladder drainage (PTGBD) is a relatively less invasive alternative treatment to cholecystostomy. However, the influence of the difficulty of delayed laparoscopic cholecystectomy (DLC) after PTGBD on clinical outcomes remains unknown. This study aimed to evaluate the clinical effects of DLC following PTGBD.
methodsThe clinical data of 113 patients diagnosed with moderate (grade II) acute cholecystitis according to the 2018 Tokyo Guidelines in the acute phase and who underwent DLC in our hospital from January 2018 to February 2022 were retrospectively collected and separated into two groups according to whether they received PTGBD treatment in the acute stage. The PTGBD group comprised 27 cases, and the no-PTGBD group included 86 cases. The TG18 difficulty score was used to evaluate every surgical procedure in the cases by reviewing the surgical videos. The clinical baseline characteristics and post-treatment outcomes were also evaluated.
resultsBoth groups showed significant differences in length of postoperative stay, blood loss, operation time, and difficulty score. The PTGBD group showed a significantly longer postoperative stay and operation time, more blood loss, and a much higher difficulty score than the no-PTGBD group. Conversion rates did not differ. The morbidity rate in the PTGBD group was statistically higher.
conclusionsPTGBD is an efficient way to relieve the symptoms of acute cholecystitis. However, it may increase the difficulty and complications of DLC.
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