Evidence map›Paper›PMID 41055787›Full record

ArticleLangenbeck's archives of surgery2025

The efficacy of bedside percutaneous cholecystostomy in critically ill patients: comparison with cholecystostomy performed in angiography suite.

Joo Yeon Jang, Tae Un Kim, Hwa Seong Ryu, Yun Seong Kim, Ryuk Jun Kwon, Taehwa Kim

Expression of concernAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Joo Yeon JangDepartments of Radiology, School of Medicine, Pusan National University Yangsan Hospital, Pusan National University, Busan, Korea.
Tae Un KimDepartments of Radiology, School of Medicine, Pusan National University Yangsan Hospital, Pusan National University, Busan, Korea.
Hwa Seong RyuDepartments of Radiology, School of Medicine, Pusan National University Yangsan Hospital, Pusan National University, Busan, Korea.
Yun Seong KimDivision of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Ryuk Jun Kwon *Department of Family Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Taehwa Kim *Division of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea. taehwagongju@naver.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCritically ill patients frequently develop acute acalculous cholecystitis (AAC), particularly those requiring prolonged mechanical ventilation, ECMO, or CRRT. Percutaneous cholecystostomy is a minimally invasive alternative to cholecystectomy, yet transportation to the angiography suite may not be feasible in unstable ICU patients. This study aimed to compare the efficacy and outcome of bedside percutaneous cholecystostomy with the conventional technique performed in the angiography suite.

methodsWe retrospectively reviewed 70 ICU patients who underwent percutaneous cholecystostomy between January 2019 and December 2023 at a tertiary referral center. Patients were divided into two groups based on procedure setting: bedside trocar group (n = 26) and angiography suite group (n = 44). Baseline characteristics, SOFA scores, procedural outcomes, and complications were compared between the groups.

resultsThe bedside group had higher rates of ECMO use (50% vs. 6.8%, p < 0.001), inotrope support (76.9% vs. 52.3%, p = 0.041), and NO ventilation (30.8% vs. 6.8%, p = 0.008). Despite significantly higher pre-procedural SOFA scores (12.85 ± 2.59 vs. 9.77 ± 3.38, p < 0.001), there were no significant differences in complication rates (42.3% vs. 27.3%, p = 0.196), catheter dislodgement, or in-hospital mortality (53.8% vs. 50.0%, p = 0.756) between groups. Catheter dislodgement was the most common complication and was not significantly associated with the technique used.

conclusionBedside percutaneous cholecystostomy is a viable alternative for critically ill patients who are unable to be moved. This method provides effective biliary decompression even in patients with high disease severity who require multi-organ support.

Indexed as

AngiographyCholecystitis, AcuteCholecystostomyCritical IllnessAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAcalculous cholecystitisCholecystostomyFluoroscopyIntensive care unitsUltrasonography

Identifiers

PMID41055787
PMCPMC12504337

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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.