• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / IMPACT OF TIMING OF INTERVAL CHOLECYSTECTOMY, FOLLOWING PERCUTANEOUS CHOLECYSTOSTOMY TUBE FOR ACUTE CHOLECYSTITIS, ON OPERATIVE AND PATIENT OUTCOMES

IMPACT OF TIMING OF INTERVAL CHOLECYSTECTOMY, FOLLOWING PERCUTANEOUS CHOLECYSTOSTOMY TUBE FOR ACUTE CHOLECYSTITIS, ON OPERATIVE AND PATIENT OUTCOMES

Usman Asad, BS, Amir Aryaie, MD, Eneko Larumbe, PhD, Mark Williams, MD, Edwin Onkendi, MD. Texas Tech University Health Sciences Center

Background: Percutaneous cholecystostomy tube (PCT) has been used as a bridge treatment for grade II-III moderate to severe acute cholecystitis (AC) to “cool” the gallbladder down over several weeks and allow the inflammation to resolve prior to performing interval cholecystectomy (IC) and removal of the PCT, often laparoscopically. The aim of this study was to assess the impact of timing of IC after PCT on operative success and outcomes.

Methods: A retrospective review of electronic medical records of patients who were treated for AC with a PCT, and subsequently underwent IC at our institution between January 2005 to December 2016 was performed. The patients were divided into three groups (n=7 each), based on the duration of the PCT prior to IC, and these groups were comparatively analyzed. A comparative sub-analysis of clinical outcomes between patients who underwent surgery within the first week vs. third week or later after PCT was also performed.

Results:  A total of 21 patients met the study criteria. Each group had 7 patients. There were no statistically significant differences between the 3 groups in regards to age, gender, BMI, imaging findings, and indications for cholecystostomy tube placement. Overall, there was no statistically significant difference in outcomes between performing IC within the first 5 weeks, 5-8 weeks and >8 weeks after PCT placement. The length of stay, overall morbidity, Clavien-Dindo grade of complications and mortality were similar between the 3 time intervals. However, a sub-analysis showed that patients who underwent IC within the first week of PCT placement had statistically significant higher mortality rate (p=0.048) compared to those who underwent IC >3 weeks of PCT placement. The two patients who died in our sample had IC within a week after PCT placement. Even though there was a statistically significantly higher morbidity rate in those who had IC >3 weeks after PCT, the Clavien-Dindo grade of these complications was lower than

Conclusion: Delaying IC to >5 weeks after PCT placement for AC is not associated with any improvement in patient morbidity, length of stay or rate of conversion from laparoscopic to open cholecystectomy. Cholecystectomy within the first week of PCT placement is associated with higher mortality rate than after 3 weeks likely due to associated sepsis. 


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 87040

Program Number: P081

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

586

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals