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 ()

Women157 (53.6%)403 (54.8%)35 (57.4%)8 (80.0%)146 (58.9%)
Men136 (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
 099 (33.8%)562 (76.4%)8 (13.1%)4 (40.0%)155 (62.5%)
 180 (27.3%)121 (16.4%)14 (23.0%)3 (30.0%)46 (18.5%)
 ≥2113 (38.6%)48 (6.5%)39 (63.9%)3 (30.0%)45 (18.1%)
 Data missing1 (0.3%)5 (0.7%)0 (0%)0 (0%)2 (0.8%)

Cholecystitis severity
 Grade 1152 (51.9%)399 (54.2%)12 (19.7%)3 (30.0%)134 (54.0%)
 Grade 2126 (43.0%)316 (42.9%)35 (42.9%)5 (50.0%)109 (44.0%)
 Grade 34 (1.4%)6 (0.8%)11 (18.0%)2 (20.0%)3 (1.2%)
 Data missing11 (3.8%)15 (2.0%)3 (4.9%)0 (0%)2 (0.8%)

Median hospital stay4498.53

Complications related to cholecystostomy and/or cholecystectomy (Clavien-Dindo)
 251 (6.9%)2 (3.3%)0 (0%)10 (4.0%)
 370 (9.5%)1 (1.6%)2 (20.0%)24 (9.7%)
 43 (0.4%)0 (0%)0 (0%)2 (0.8%)
 52 (0.3%)1 (1.6%)0 (0%)0 (0%)

Both registered complications related to the cholecystectomy.