ArticleWorld journal of emergency surgery : WJES2026
Management of percutaneous cholecystostomy drains: a survey of real-world practices across Ireland and the UK.
Article in World journal of emergency surgery : WJES, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAcute calculous cholecystitis (ACC) is a common surgical emergency with varying severity. The Tokyo Guidelines stratified ACC into grades I-III based on severity. Patients with grade III ACC and high ASA scores can be managed with percutaneous cholecystostomy drain (PCD) insertion to control sepsis. There are currently no guidelines in the literature concerning PCD management. This questionnaire highlights the current real-life practices of PCD across Ireland and the UK.
methodsThe Irish Surgical Research Collaborative sought to explore PCD practices in Ireland and the UK. This study utilised a 23-item digital questionnaire, which included questions pertaining to indications, follow-up, and scheduling of post-PCD cholecystectomy. The questionnaire was disseminated between August and October 2024 to surgical trainees and consultant surgeons from Ireland and the UK.
resultsThere were 94 responses from various general surgical subspecialties. Of the respondents, 61% (n = 57) were consultant surgeons, 64% (n = 60) worked in a university hospital, and 66% (n = 61) worked in a hospital without a hepatobiliary department. Forty-three Participants (46%) agreed to perform a laparoscopic cholecystectomy for ACC. However, 40% (n = 38) would insert PCD for ACC with septic shock in surgically unfit patients. Forty-six respondents (49%) chose not to perform a post-PCD cholecystogram during the index admission, and 81% (n = 76) wouldn't remove the PCD during the index admission. Regarding follow-up, forty-six participants (49%) wouldn't perform a clamping test before PCD removal, and fifty-four would schedule an outpatient cholecystogram (57%). The majority agreed that the optimal time for a cholecystectomy is 6-12 (66%) weeks, with the laparoscopic approach (81.3%) being the most commonly chosen.
conclusionWhile laparoscopic cholecystectomy remains the gold standard for managing ACC, PCDs are safe, effective, and a commonly used tool in the surgical arsenal for managing acutely unwell patients who are poor surgical candidates. Guidelines regarding management and follow-up are necessary to guide the treatment.
Indexed as
Identifiers
What OpenQuestion holds
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.