Research Article
Cholecystostomy as Bridge to Surgery and as Definitive Treatment or Acute Cholecystectomy in Patients with Acute Cholecystitis
Table 1
Patient characteristics. Information about management was missing or inconsistent for 284 patients.
| | Conservative management, no intervention () | Early surgery () | Cholecystostomy as sole treatment () | Cholecystostomy as bridge to surgery () | Delayed surgery () |
| Women | 157 (53.6%) | 403 (54.8%) | 35 (57.4%) | 8 (80.0%) | 146 (58.9%) | Men | 136 (46.4%) | 333 (45.2%) | 26 (42.6%) | 2 (20.0%) | 102 (41.1%) |
| Mean age, years (standard deviation) | 72 (15) | 52 (17) | 79 (13) | 64 (15) | 56 (15) |
| Charlson comorbidity index | | | | | | 0 | 99 (33.8%) | 562 (76.4%) | 8 (13.1%) | 4 (40.0%) | 155 (62.5%) | 1 | 80 (27.3%) | 121 (16.4%) | 14 (23.0%) | 3 (30.0%) | 46 (18.5%) | ≥2 | 113 (38.6%) | 48 (6.5%) | 39 (63.9%) | 3 (30.0%) | 45 (18.1%) | Data missing | 1 (0.3%) | 5 (0.7%) | 0 (0%) | 0 (0%) | 2 (0.8%) |
| Cholecystitis severity | | | | | | Grade 1 | 152 (51.9%) | 399 (54.2%) | 12 (19.7%) | 3 (30.0%) | 134 (54.0%) | Grade 2 | 126 (43.0%) | 316 (42.9%) | 35 (42.9%) | 5 (50.0%) | 109 (44.0%) | Grade 3 | 4 (1.4%) | 6 (0.8%) | 11 (18.0%) | 2 (20.0%) | 3 (1.2%) | Data missing | 11 (3.8%) | 15 (2.0%) | 3 (4.9%) | 0 (0%) | 2 (0.8%) |
| Median hospital stay | 4 | 4 | 9 | 8.5 | 3 |
| Complications related to cholecystostomy and/or cholecystectomy (Clavien-Dindo) | | | | | | 2 | | 51 (6.9%) | 2 (3.3%) | 0 (0%) | 10 (4.0%) | 3 | | 70 (9.5%) | 1 (1.6%) | 2 (20.0%) | 24 (9.7%) | 4 | | 3 (0.4%) | 0 (0%) | 0 (0%) | 2 (0.8%) | 5 | | 2 (0.3%) | 1 (1.6%) | 0 (0%) | 0 (0%) |
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Both registered complications related to the cholecystectomy.
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