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首页> 外文期刊>ANZ journal of surgery >Outcomes of percutaneous cholecystostomy and predictors of subsequent cholecystectomy
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Outcomes of percutaneous cholecystostomy and predictors of subsequent cholecystectomy

机译：后续胆囊切除术的经皮胆囊囊肿和预测因子的结果

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Background The use of a percutaneous cholecystostomy ( PC ) in the management of severe acute cholecystitis is a well recognized alternative to acute cholecystectomy. The need for definitive surgical management remains controversial. Methods A retrospective analysis of hospital records at Nambour General Hospital between 2012 and 2016 was conducted and data relating to indications, demographics, comorbidities and outcomes were collected. Results Thirty PC patients (20 male and 10 female) were identified, with a mean age of 77 years (range 46–93). Thirteen proceeded to cholecystectomy, nine elective and four emergent. Mean time to operation was 97 days (range 1–480). Ten were performed laparoscopically with a complication rate of 23% (3/13). One patient in the operative group died. Seventeen patients did not proceed to cholecystectomy. Fifteen resolved and were discharged, and two died. Three of those discharged were readmitted with gallstone disease requiring treatment, one of which died. A total of 71% (12/17) of the non‐operative group died and three of those had a cause of death related to gallstone disease. The operative group was younger ( P = 0.01) and had a lower estimated mortality risk ( P 0.05). In this cohort, this translated to an overall survival benefit ( P 0.01). Conclusion Predictors of eventual cholecystectomy include younger age and lower estimated mortality risk. Patients who require a PC for the treatment of acute cholecystitis and subsequently go on to cholecystectomy can expect to have a favourable outcome.
机译：背景技术在严重急性胆囊炎的管理中使用经皮胆囊术（PC）是急性胆囊切除术的良好认可的替代品。对明确手术管理的需求仍然存在争议。方法对2012年至2016年间Nambour综合医院的医院记录进行了回顾性分析，并收集了与指示，人口统计学，组合和结果有关的数据。结果鉴定了30名PC患者（20名男性和10名女性），平均年龄为77岁（范围46-93）。十三个前进的胆囊切除术，九个选修术和四个紧急情况。手术时间为97天（范围1-480）。在腹腔镜上进行十，并发症率为23％（3/13）。手术组中的一名患者死亡。 17名患者没有进行胆囊切除术。十五分辨率并被排出，两次死亡。其中三个排放的人被要求用胆结石疾病需要治疗，其中一个死亡。共有71％（12/17）的非手术组死亡，其中三个有与胆结石疾病有关的死因。手术组较年轻（P = 0.01），估计的死亡率较低（P <0.05）。在这种队列中，这转化为整体存活益处（P <0.01）。结论最终胆囊切除术的预测因素包括较年轻的年龄和估计的死亡率较低。需要PC治疗急性胆囊炎并随后继续胆囊切除术的患者可以期望具有有利的结果。

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