Effect of Preserving the Percutaneous Gallbladder Drainage Tube Before Laparoscopic Cholecystectomy on Surgical Outcome: Post Hoc Analysis of the CSGO-HBP-017

Background When percutaneous transhepatic gallbladder drainage (PTGBD) is followed by laparoscopic cholecystectomy (LC), there is no consensus regarding whether the drainage tube should be preserved or removed before LC. We hypothesized that the surgical results of LC might differ between cases with...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2022-06, Vol.26 (6), p.1224-1232
Main Authors: Tomimaru, Yoshito, Fukuchi, Nariaki, Yokoyama, Shigekazu, Mori, Takuji, Tanemura, Masahiro, Sakai, Kenji, Takeda, Yutaka, Tsujie, Masanori, Yamada, Terumasa, Miyamoto, Atsushi, Hashimoto, Yasuji, Hatano, Hisanori, Shimizu, Junzo, Sugimoto, Keishi, Kashiwazaki, Masaki, Matsumoto, Kenichi, Kobayashi, Shogo, Doki, Yuichiro, Eguchi, Hidetoshi
Format: Article
Language:English
Subjects:
Cholecystectomy
Cholecystectomy, Laparoscopic - adverse effects
Cholecystectomy, Laparoscopic - methods
Cholecystitis, Acute - surgery
Cholecystostomy
Drainage - methods
Gallbladder
Gallbladder - surgery
Gastroenterology
Humans
Laparoscopy
Medicine
Medicine & Public Health
Original Article
Retrospective Studies
Surgery
Surgical outcomes
Treatment Outcome
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Summary:Background When percutaneous transhepatic gallbladder drainage (PTGBD) is followed by laparoscopic cholecystectomy (LC), there is no consensus regarding whether the drainage tube should be preserved or removed before LC. We hypothesized that the surgical results of LC might differ between cases with PTGBD tube preservation versus removal. Here, we investigated how drainage tube preservation or removal affected the surgical outcome of LC. Methods Using data from our previous multicenter study, we compared LC outcomes after PTGBD between patients with PTGBD tube preservation versus removal. This study included 208 patients who underwent LC over 12 days after PTGBD. In 83 cases, the PTGBD tube was preserved until LC, and in 125 cases, the tube was removed before LC. The results were verified by propensity score matching with 50 patients in each group. Results Cases with tube preservation versus removal exhibited significantly longer surgery duration (174 ± 105 min vs 145 ± 61 min, P = .0118) and postoperative hospital stay (14 ± 16 days vs 7 ± 7 days, P   12 days after PTGBD, the surgical outcome may be inferior when the drainage tube is preserved rather than removed before LC.
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-022-05291-3