The clock is ticking: Early versus delayed laparoscopic cholecystectomy following percutaneous cholecystostomy
Arab Journal of Gastroenterology, cilt.26, sa.4, ss.421-424, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 26 Sayı: 4
- Basım Tarihi: 2025
- Doi Numarası: 10.1016/j.ajg.2025.09.011
- Dergi Adı: Arab Journal of Gastroenterology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Sayfa Sayıları: ss.421-424
- Anahtar Kelimeler: Cholecystostomy, Early Cholecystectomy, Interval Cholecystectomy, Laparoscopic, Late Cholecystectomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: The optimal timing for laparoscopic cholecystectomy following percutaneous cholecystostomy remains a subject of considerable debate, and there is conflicting evidence regarding its impact on clinical outcomes. The aim of this retrospective study is to provide evidence-based insights to optimize the management of gallbladder diseases by comparing early versus delayed cholecystectomy after initial percutaneous drainage. Methods: We retrospectively analyzed data from 43 patients who underwent percutaneous cholecystostomy followed by laparoscopic cholecystectomy between November 2016 and December 2022. The patients were divided into two groups: Group 1 (early cholecystectomy) underwent surgery within eight weeks of cholecystostomy, and Group 2 (delayed cholecystectomy) underwent surgery after eight weeks. We compared the demographic characteristics, comorbidities, conversion rates, and postoperative outcomes between the two groups. Results: No statistically significant differences were found between the two groups in regard to median age, gender distribution, prevalence of comorbidities, or rates of conversion to open surgery (p = 0.999). However, patients in the delayed cholecystectomy group (Group 2) had a higher incidence of high-grade postoperative complications according to the Clavien-Dindo classification. Conclusion: While the overall complication and hospital readmission rates were similar between early and delayed cholecystectomy groups, the observed increase in high-grade complications in the delayed-surgery group underscores the necessity for individualized patient management. The clock is ticking: Optimal timing requires a tailored approach that considers patient-specific factors rather than adherence to a rigid timeframe. Larger prospective studies are important for establishing definitive guidelines. Clinicians should employ a multidisciplinary patient-centered strategy to ensure optimal patient outcomes.