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dc.contributor.authorBennett, Stephen
dc.contributor.authorShaida, Nadeem
dc.contributor.authorGodfrey, Edmund
dc.contributor.authorSafranek, Peter
dc.contributor.authorO'Neill, J Robert
dc.date.accessioned2021-10-19T01:07:44Z
dc.date.available2021-10-19T01:07:44Z
dc.date.issued2021-09-14
dc.identifier.issn2042-8812
dc.identifier.otherPMC8440141
dc.identifier.other34531975
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/329601
dc.description.abstractPercutaneous cholecystostomy is a treatment for acute calculous cholecystitis used in patients where surgery is high risk or challenging either to allow for surgical optimisation or as definitive treatment. In this case series we compare the outcomes of a transhepatic versus transperitoneal approach in patients undergoing percutaneous cholecystostomy for acute calculous cholecystitis. A retrospective review of patients from 2014 to 2019 was conducted and included demographics, percutaneous cholecystostomy route, complications and outcome. Fifty-one patients were included. Percutaneous cholecystostomy was placed transhepatically in 15 cases; transperitoneal in 30 cases; 6 cases had undetermined route. The transhepatic cohort had 43.5% fewer readmissions due to biliary sepsis, 32.5% fewer drain-related complications, and were less likely to require further treatment (32.5% reduction) compared to the transperitoneal cohort. In our experience, the transhepatic route is preferred due to fewer complications, fewer readmissions and a reduction in the need for further treatment.
dc.languageeng
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceessn: 2042-8812
dc.sourcenlmid: 101560169
dc.titleA comparison of transhepatic versus transperitoneal cholecystostomy for acute calculous cholecystitis: a 5-year experience.
dc.typeOther
dc.date.updated2021-10-19T01:07:41Z
prism.issueIdentifier9
prism.publicationNameJournal of surgical case reports
prism.volume2021
dc.identifier.doi10.17863/CAM.77050
rioxxterms.versionofrecord10.1093/jscr/rjab410
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidBennett, Stephen [0000-0001-9488-0114]


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International