Timing of the laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage in the treatment of acute cholecystitis

Abstract

Objective To evaluate appropriate timing of laparoscopic cholecystectomy (LC) after percutaneous transhepatic gallbladder drainage (PTGD) for the treatment of acute cholecystitis (AC). Methods To compare the clinical data of 74 patients with acute cholecystitis who underwent laparoscopic cholecystectomy at different time after PTGD, Including the degree of gallbladder inflammation, operation time, intraoperative blood loss, the rate of conversion to laparotomy, length of stay and total cost.74 cases were divided into 3 groups, group 1 (n=31), operated within 4 w, group 2 (n=22), between 4 and 8 w, group 3 (n=21), after 8 w. Results Group 2 was better than group 1 and group 3 in operation time, blood loss, length of stay and total cost, the difference was statistically significant (P<0.05). Conclusion Laparoscopic cholecystectomy performed after 4-8 weeks PTGD is the best time in terms of less risk of operation, shorter hospital stay, lower cost, and better quality of life. Key words: Cholecystitis; Cholecystectomy, laparoscopic; Percutaneous transhepatic gallbladder drainage