Bridge Treatment For Early Cholecystectomy İn Geriatric Patients With Acute Cholecystitis: Percutaneous Cholecystostomy

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dc.authorid33607en_US
dc.authorid52033en_US
dc.authorid49152en_US
dc.authorid39926en_US
dc.authorid129362en_US
dc.authorid129362en_US
dc.authorid205541en_US
dc.contributor.authorKesici, Uğur
dc.contributor.authorZeren, Sezgin
dc.contributor.authorBayhan, Zülfü
dc.contributor.authorKoçak, Cengiz
dc.contributor.authorKorkmaz, Mehmet
dc.contributor.authorAlgın, Mustafa Cem
dc.contributor.authorYaylak, Faik
dc.contributor.authorEkici, Mehmet Fatih
dc.date.accessioned2019-07-18T08:29:37Z
dc.date.available2019-07-18T08:29:37Z
dc.date.issued2017
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractBACKGROUND: The main cause of acute cholecystitis (AC) is gallstones, and the incidence of gallstones in elderly patients is high. METHODS: In this study, we aimed to investigate the efficacy of percutaneous cholecystostomy (PC) before early cholecystectomy in geriatric patients with AC. This retrospective study included 85 patients undergoing laparoscopic or conventional cholecystectomy during early stage of calculous AC. RESULTS: All patients were over 65 years old and were divided into two groups: Group I, PC plus early cholecystectomy and Group II, only cholecystectomy without PC. Data on age, sex, status of PC before surgery, postoperative complications, postoperative mortality, surgical method, and postoperative hospitalization duration were recorded in our study. The average age in the groups I and II was 75.7±7.5 and 73.7±7.2 years, respectively, indicating insignificant difference (p=0.223). Although postoperative complication rate was two fold in the non-PC group, the PC plus cholecystectomy group has a few complications (p=0.032). Postoperative mortality was evidently lower in patients who first underwent PC and followed by cholecystectomy (p=0.017). The average hospitalization duration in groups I and II were 5.6±2.4 days and 11.2±7.7 days, respectively (p<0.001). CONCLUSION: Urgent laparoscopic cholecystectomy is still the best surgical treatment modality for calculous AC. Further, our study results showed that in geriatric patients, bridge treatment, such as PC, can be useful for reducing postoperative complication rates.en_US
dc.identifier.doi10.5505/tjtes.2017.63668
dc.identifier.issn1306-696X
dc.identifier.pmid29115653en_US
dc.identifier.scopus2-s2.0-85033697316en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2017.63668
dc.identifier.wosWOS:000416066900010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTURKISH ASSOC TRAUMA EMERGENCY SURGERYtr_TR
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.subjectAcute cholecystitistr_TR
dc.subjectbridge treatmenttr_TR
dc.subjectcholecystectomytr_TR
dc.subjectpercutaneous cholecystostomytr_TR
dc.subjectpostoperative complication.tr_TR
dc.titleBridge Treatment For Early Cholecystectomy İn Geriatric Patients With Acute Cholecystitis: Percutaneous Cholecystostomyen_US
dc.typeArticleen_US

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