Emergent cholecystectomy is superior to percutaneous cholecystostomy tube placement in critically ill patients with emergent calculous cholecystitis

Bradley R. Hall, Priscila R. Armijo, Crystal Krause, Tyler Burnett, Dmitry Oleynikov

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: The role of percutaneous cholecystostomy (PC) is undefined in patients with multiple comorbidities presenting with emergent calculous cholecystitis (CC). This study compared outcomes between PC, laparoscopic (LC), and open cholecystectomy (OC). Methods: The Vizient UHC database was queried for high-risk patients with CC who underwent PC, LC, OC, or laparoscopic converted to open cholecystectomy (CONV). Demographics, outcomes, mortality, length of stay (LOS), and direct cost were compared between the groups. Results: LC was the most common approach with the lowest risk of death, complications, LOS, and cost. Complication risk was highest in OC. Nearly 20% of patients underwent PC. Complication rate, LOS, infection, aspiration pneumonia, and mortality were higher in PC. Direct cost was lowest in LC, followed by CONV, PC, and OC. Conclusions: Emergent cholecystectomy for CC in high-risk patients is safer and more cost effective than PC and this study supports the use of cholecystectomy as the primary treatment approach in these patients.

Original languageEnglish (US)
JournalAmerican Journal of Surgery
DOIs
StateAccepted/In press - Jan 1 2017

Fingerprint

Cholecystostomy
Cholecystitis
Cholecystectomy
Critical Illness
Costs and Cost Analysis
Length of Stay
Laparoscopic Cholecystectomy
Aspiration Pneumonia
Mortality
Comorbidity
Demography
Outcome Assessment (Health Care)
Databases

Keywords

  • Cholecystectomy
  • Cholecystitis
  • Cholecystostomy
  • Cost
  • Outcomes

ASJC Scopus subject areas

  • Surgery

Cite this

Emergent cholecystectomy is superior to percutaneous cholecystostomy tube placement in critically ill patients with emergent calculous cholecystitis. / Hall, Bradley R.; Armijo, Priscila R.; Krause, Crystal; Burnett, Tyler; Oleynikov, Dmitry.

In: American Journal of Surgery, 01.01.2017.

Research output: Contribution to journalArticle

@article{41c3397b7f884665838d1ba775e104d9,
title = "Emergent cholecystectomy is superior to percutaneous cholecystostomy tube placement in critically ill patients with emergent calculous cholecystitis",
abstract = "Background: The role of percutaneous cholecystostomy (PC) is undefined in patients with multiple comorbidities presenting with emergent calculous cholecystitis (CC). This study compared outcomes between PC, laparoscopic (LC), and open cholecystectomy (OC). Methods: The Vizient UHC database was queried for high-risk patients with CC who underwent PC, LC, OC, or laparoscopic converted to open cholecystectomy (CONV). Demographics, outcomes, mortality, length of stay (LOS), and direct cost were compared between the groups. Results: LC was the most common approach with the lowest risk of death, complications, LOS, and cost. Complication risk was highest in OC. Nearly 20{\%} of patients underwent PC. Complication rate, LOS, infection, aspiration pneumonia, and mortality were higher in PC. Direct cost was lowest in LC, followed by CONV, PC, and OC. Conclusions: Emergent cholecystectomy for CC in high-risk patients is safer and more cost effective than PC and this study supports the use of cholecystectomy as the primary treatment approach in these patients.",
keywords = "Cholecystectomy, Cholecystitis, Cholecystostomy, Cost, Outcomes",
author = "Hall, {Bradley R.} and Armijo, {Priscila R.} and Crystal Krause and Tyler Burnett and Dmitry Oleynikov",
year = "2017",
month = "1",
day = "1",
doi = "10.1016/j.amjsurg.2017.11.002",
language = "English (US)",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Emergent cholecystectomy is superior to percutaneous cholecystostomy tube placement in critically ill patients with emergent calculous cholecystitis

AU - Hall, Bradley R.

AU - Armijo, Priscila R.

AU - Krause, Crystal

AU - Burnett, Tyler

AU - Oleynikov, Dmitry

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Background: The role of percutaneous cholecystostomy (PC) is undefined in patients with multiple comorbidities presenting with emergent calculous cholecystitis (CC). This study compared outcomes between PC, laparoscopic (LC), and open cholecystectomy (OC). Methods: The Vizient UHC database was queried for high-risk patients with CC who underwent PC, LC, OC, or laparoscopic converted to open cholecystectomy (CONV). Demographics, outcomes, mortality, length of stay (LOS), and direct cost were compared between the groups. Results: LC was the most common approach with the lowest risk of death, complications, LOS, and cost. Complication risk was highest in OC. Nearly 20% of patients underwent PC. Complication rate, LOS, infection, aspiration pneumonia, and mortality were higher in PC. Direct cost was lowest in LC, followed by CONV, PC, and OC. Conclusions: Emergent cholecystectomy for CC in high-risk patients is safer and more cost effective than PC and this study supports the use of cholecystectomy as the primary treatment approach in these patients.

AB - Background: The role of percutaneous cholecystostomy (PC) is undefined in patients with multiple comorbidities presenting with emergent calculous cholecystitis (CC). This study compared outcomes between PC, laparoscopic (LC), and open cholecystectomy (OC). Methods: The Vizient UHC database was queried for high-risk patients with CC who underwent PC, LC, OC, or laparoscopic converted to open cholecystectomy (CONV). Demographics, outcomes, mortality, length of stay (LOS), and direct cost were compared between the groups. Results: LC was the most common approach with the lowest risk of death, complications, LOS, and cost. Complication risk was highest in OC. Nearly 20% of patients underwent PC. Complication rate, LOS, infection, aspiration pneumonia, and mortality were higher in PC. Direct cost was lowest in LC, followed by CONV, PC, and OC. Conclusions: Emergent cholecystectomy for CC in high-risk patients is safer and more cost effective than PC and this study supports the use of cholecystectomy as the primary treatment approach in these patients.

KW - Cholecystectomy

KW - Cholecystitis

KW - Cholecystostomy

KW - Cost

KW - Outcomes

UR - http://www.scopus.com/inward/record.url?scp=85034455290&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85034455290&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2017.11.002

DO - 10.1016/j.amjsurg.2017.11.002

M3 - Article

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

ER -