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New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage

BACKGROUND: The surgical difficulty of laparoscopic cholecystectomy (LC) after percutaneous transhepatic gallbladder drainage (PTGBD) remains unknown. This study aimed to establish a scoring system (SS) to predict the necessity of a bailout procedure during LC after PTGBD and to evaluate the relatio...

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Autores principales: Matsumoto, Michinori, Abe, Kyohei, Futagawa, Yasuro, Furukawa, Kenei, Haruki, Koichiro, Onda, Shinji, Kurogochi, Takanori, Takeuchi, Nana, Okamoto, Tomoyoshi, Ikegami, Toru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8889863/
https://www.ncbi.nlm.nih.gov/pubmed/35261956
http://dx.doi.org/10.1002/ags3.12522
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author Matsumoto, Michinori
Abe, Kyohei
Futagawa, Yasuro
Furukawa, Kenei
Haruki, Koichiro
Onda, Shinji
Kurogochi, Takanori
Takeuchi, Nana
Okamoto, Tomoyoshi
Ikegami, Toru
author_facet Matsumoto, Michinori
Abe, Kyohei
Futagawa, Yasuro
Furukawa, Kenei
Haruki, Koichiro
Onda, Shinji
Kurogochi, Takanori
Takeuchi, Nana
Okamoto, Tomoyoshi
Ikegami, Toru
author_sort Matsumoto, Michinori
collection PubMed
description BACKGROUND: The surgical difficulty of laparoscopic cholecystectomy (LC) after percutaneous transhepatic gallbladder drainage (PTGBD) remains unknown. This study aimed to establish a scoring system (SS) to predict the necessity of a bailout procedure during LC after PTGBD and to evaluate the relationship between SS and perioperative complications. METHODS: We retrospectively studied 70 patients who underwent LC after PTGBD. Preoperative factors potentially predictive of the need for the bailout procedure were analyzed. The SS included significantly predictive factors, with their cutoff values determined by receiver operating characteristic curves. Patients were assigned a score of 1 when exhibiting only one of these abnormalities. We compared the perioperative factors between three groups with scores of 0, 1, or 2. The SS was applied to another series of 65 patients for validation. We compared the score‐2 patient perioperative factors between LC with the bailout procedure and open cholecystectomy from the beginning (OC). RESULTS: Independent predictors were time until PTGBD after symptom onset and the maximal wall gallbladder thickness (cutoff values: 3 days and 10 mm, respectively). The high‐score group was significantly associated with bile duct injury (BDI). The sensitivity and specificity of our SS were 75.0% and 98.1% in validation, respectively. The score‐2 OC and laparoscopic subtotal cholecystectomy (LSC) groups had no BDI. CONCLUSIONS: The SS using time until PTGBD after symptom onset and gallbladder wall thickness for predicting the need for the bailout procedure correctly predicted the need. The scores might be associated with the risk of BDI, and LSC or OC might be a better choice for score‐2 patients.
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spelling pubmed-88898632022-03-07 New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage Matsumoto, Michinori Abe, Kyohei Futagawa, Yasuro Furukawa, Kenei Haruki, Koichiro Onda, Shinji Kurogochi, Takanori Takeuchi, Nana Okamoto, Tomoyoshi Ikegami, Toru Ann Gastroenterol Surg Original Articles BACKGROUND: The surgical difficulty of laparoscopic cholecystectomy (LC) after percutaneous transhepatic gallbladder drainage (PTGBD) remains unknown. This study aimed to establish a scoring system (SS) to predict the necessity of a bailout procedure during LC after PTGBD and to evaluate the relationship between SS and perioperative complications. METHODS: We retrospectively studied 70 patients who underwent LC after PTGBD. Preoperative factors potentially predictive of the need for the bailout procedure were analyzed. The SS included significantly predictive factors, with their cutoff values determined by receiver operating characteristic curves. Patients were assigned a score of 1 when exhibiting only one of these abnormalities. We compared the perioperative factors between three groups with scores of 0, 1, or 2. The SS was applied to another series of 65 patients for validation. We compared the score‐2 patient perioperative factors between LC with the bailout procedure and open cholecystectomy from the beginning (OC). RESULTS: Independent predictors were time until PTGBD after symptom onset and the maximal wall gallbladder thickness (cutoff values: 3 days and 10 mm, respectively). The high‐score group was significantly associated with bile duct injury (BDI). The sensitivity and specificity of our SS were 75.0% and 98.1% in validation, respectively. The score‐2 OC and laparoscopic subtotal cholecystectomy (LSC) groups had no BDI. CONCLUSIONS: The SS using time until PTGBD after symptom onset and gallbladder wall thickness for predicting the need for the bailout procedure correctly predicted the need. The scores might be associated with the risk of BDI, and LSC or OC might be a better choice for score‐2 patients. John Wiley and Sons Inc. 2021-10-27 /pmc/articles/PMC8889863/ /pubmed/35261956 http://dx.doi.org/10.1002/ags3.12522 Text en © 2021 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterology. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Matsumoto, Michinori
Abe, Kyohei
Futagawa, Yasuro
Furukawa, Kenei
Haruki, Koichiro
Onda, Shinji
Kurogochi, Takanori
Takeuchi, Nana
Okamoto, Tomoyoshi
Ikegami, Toru
New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage
title New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage
title_full New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage
title_fullStr New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage
title_full_unstemmed New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage
title_short New Scoring System for Prediction of Surgical Difficulty During Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage
title_sort new scoring system for prediction of surgical difficulty during laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8889863/
https://www.ncbi.nlm.nih.gov/pubmed/35261956
http://dx.doi.org/10.1002/ags3.12522
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