Clinical Trial: The Clinical Outcomes of the Percutaneous Cholecystostomy, Supportive Care Versus Cholecystectomy.

Study Status: Completed
Recruit Status: Completed
Study Type: Observational

Official Title: The Percutaneous Cholecystostomy is Appropriate as the Ultimate Treatment of Acute Cholecystitis in Critically Ill Patients: a Cross-sectional Study at Single Center.

Brief Summary: Percutaneous cholecystostomy (PC) is an effective treatment for cholecystitis in surgical high risk patients. However, there has been no definite agreement of the additional cholecystectomy in these patients. The investigators surveyed the clinical outcomes of the PC in surgical high risk patients. And the investigators tried to prove the PC can be appropriate and ultimate treatment for acute cholecystitis patients with critical illness through this study.

Detailed Summary:

Between 2007 and 2012, all patients admitted for acute cholecystitis, and then underwent ultrasonography guided percutaneous cholecystostomy in Cheju Halla General Hospital were consecutively enrolled.

Among 82 patients, 35 were performed laparoscopic cholecystectomy after recovery (Cholecystectomy group) and 47 treated by best supportive care without additional surgery (BSC group).

The investigators analyzed their surgical risks and clinical outcomes of both patients retrospectively.


Sponsor: Cheju Halla General Hospital

Current Primary Outcome: All cause mortality [ Time Frame: within 30 days ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Evidence of recurrent cholecystitis or biliary complication [ Time Frame: Within 30 days ]
    Acute cholecysitits : fever, abdominal pain, abnormal chemistry results Biliary complication : Gallstone pancreatitis, gallstone ileus or cholangitis
  • Evidence of recurrent cholecystitis or biliary complication [ Time Frame: Within 30 days ]
    Acute cholecystits : fever, abdominal pain, abnormal chemistry results Biliary complication : Gallstone pancreatitis, gallstone ileus or cholangitis


Original Secondary Outcome: Same as current

Information By: Cheju Halla General Hospital

Dates:
Date Received: June 29, 2013
Date Started: January 2007
Date Completion:
Last Updated: July 3, 2013
Last Verified: July 2013