Barriers to interval cholecystectomy following percutaneous cholecystostomy in patients with acute calculous cholecystitis.

ABSTRACT:

Background

Percutaneous cholecystostomy (PCT) is an option for acute calculous cholecystitis in high-risk surgical patients. While PCT effectively manages acute episodes by providing source control, the management after PCT remains unclear. When feasible, subsequent interval cholecystectomy (IC) offers definitive disease resolution; however, clear guidelines for patient selection remain lacking. This study identifies factors that hinder the decision to proceed with IC, investigates whether IC after PCT is associated with improved survival, and assesses the incidence of subsequent biliary procedures after PCT.

Methods

A retrospective cohort study was conducted using deidentified data from the TriNetX platform, encompassing over 100 million patients. Patients diagnosed with ac

SUBMITTER: Podder S 

PROVIDER: S-EPMC12708813 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature