对急性胆囊炎胆囊造口术后无症状患者进行常规胆管造影的影响。

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2024-10-04 DOI:10.1016/j.amjsurg.2024.116000

Tal Weiss , Rotem Franko , Lauren Lahav , Guy Lifshitz , Shmuel Avital , Yaron Rudnicki

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引用次数: 0

摘要

背景：我们旨在研究常规胆管造影对急性胆囊炎（AC）经皮胆囊造口术（PCC）无症状患者的影响：我们旨在研究常规胆管造影对急性胆囊炎（AC）经皮胆囊造口术（PCC）无症状患者的影响：研究纳入了2017年至2020年在一家学术中心接受经皮胆囊造口术治疗的所有急性胆囊炎患者。将出院后30天内接受常规胆管造影术且无症状的患者与仅接受临床随访的患者进行比较：两组患者（胆管造影组，n = 44；对照组，n = 145）的年龄、合并症和临床表现相似。在平均 10.4 个月的随访期间，胆管造影组的胆道疾病再入院率几乎是对照组的一半（22.7% 对 40.7%，P = 0.05）。两组患者移除引流管的时间、胆囊切除率和手术时间相当（分别为42天 vs. 40天，p = 0.47；52.3% vs. 53.1%，p = NS；69天 vs. 82天，p = 0.17）：常规胆管造影有助于减少无症状的 AC PCC 患者的胆道疾病再入院率，同时不会延误进一步治疗。

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The impact of routine cholangiography for asymptomatic patients after cholecystostomy insertion for acute cholecystitis

Background

We aim to investigate the impact of routine cholangiography on asymptomatic patients with percutaneous cholecystostomy (PCC) for acute cholecystitis (AC).

Methods

The study included all patients treated with PCC for AC from 2017 to 2020 at a single academic center. Patients who underwent routine cholangiography within 30 days post-discharge while asymptomatic were compared to patients who were only followed clinically.

Results

The groups (cholangiography group, n = 44, and control group, n = 145) were similar in terms of age, comorbidities, and clinical presentation. The readmission rate for biliary disease in the cholangiography group was nearly half that of the control group (22.7 % vs. 40.7 %, p = 0.05) over an average follow-up of 10.4 months. The time to drain removal, cholecystectomy rate, and time to operation were comparable between the groups (42 vs. 40 days, p = 0.47, 52.3 % vs 53.1 %, p = NS and 69 vs. 82 days, p = 0.17, respectively).

Conclusions

Routine cholangiography can help reduce biliary disease readmissions among asymptomatic patients with PCC for AC without delaying further treatment.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.