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ECR 2019 / C-1666
Cholecystectomy or percutaneous cholecystostomy as treatment for acute acalculous cholecystitis: 12 years of experience
Congress: ECR 2019
Poster No.: C-1666
Type: Scientific Exhibit
Keywords: Biliary Tract / Gallbladder, Interventional non-vascular, Emergency, Percutaneous, Ultrasound, Catheters, Drainage, Surgery, Infection, Inflammation, Outcomes
Authors: I. Vicente Zapata, D. Flores Funes, A. Blanco Barrio, J. F. Sánchez Melgarejo; Murcia/ES
DOI:10.26044/ecr2019/C-1666

Conclusion

Patients with higher morbidity were treated conservatively, with good outcomes and low recurrence rates. Given that there were no statistically significant differences in length of hospital stay nor morbimortality between urgent cholecystectomy and urgent cholecystostomy, we can conclude, despite the limitations, that percutaneous cholecystostomy can be a better, effective, safe and definitive treatment of AAC. Therefore, we should perform this, rather than surgery, especially for critically ill patients, although further studies are necessary, preferably randomized clinical trials, to add scientific evidence and improve the grade of recommendation (Fig. 11).

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