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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2024; 16(11): 3445-3452
Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3445
Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3445
Effect of surgical timing on postoperative outcomes in patients with acute cholecystitis after delayed percutaneous transhepatic gallbladder drainage
Wei Gao, Department of Hepatobiliary Surgery, Hanzhong Central Hospital, Hanzhong 723000, Shaanxi Province, China
Jun Zheng, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400000, China
Ji-Gang Bai, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Zhao Han, Department of General Surgery, No. 215 Hospital of Shaanxi Nuclear Industry, Xianyang 712000, Shaanxi Province, China
Author contributions: Gao W and Han Z contributed to the study conception and design; Gao W, Zheng J and Bai JG performed material preparation, data collection and analysis, and wrote the first draft of the manuscript; Han Z reviewed and revised the manuscript; all authors read and approved the final manuscript.
Institutional review board statement: This study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of No. 215 Hospital of Shaanxi Nuclear Industry.
Informed consent statement: All patients gave informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhao Han, MD, Professor, Department of General Surgery, No. 215 Hospital of Shaanxi Nuclear Industry, No. 35 Weiyang West Road, Qindu District, Xianyang 712000, Shaanxi Province, China. hanzhao_004@163.com
Received: July 10, 2024
Revised: August 27, 2024
Accepted: September 9, 2024
Published online: November 27, 2024
Processing time: 112 Days and 3.3 Hours
Revised: August 27, 2024
Accepted: September 9, 2024
Published online: November 27, 2024
Processing time: 112 Days and 3.3 Hours
Core Tip
Core Tip: Previous studies have proposed that percutaneous transhepatic gallbladder drainage (PTGBD) should be performed as early as possible in patients with moderate-to-severe acute cholecystitis (AC). However, to date, no consensus has been reached on the optimal timing for PTGBD, particularly for patients who have missed the 72-hour emergency laparoscopic cholecystectomy (LC) window. This study assessed the effects of different operation times on postoperative outcomes of patients with grade II or III AC with delayed PTGBD (time from symptom onset to PTGBD exceeding 7 days). Our results suggest that LC should be performed 2 weeks after PTGBD.