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- Title
Percutaneous cholecystostomy instead of laparoscopy to treat acute cholecystitis during the COVID-19 pandemic period: single center experience.
- Authors
Somuncu, Erkan; Kara, Yasin; Kızılkaya, Mehmet Celal; Bozdağ, Emre; Yıldız, Zeynep Betül; Özkan, Cenk; Şener, Aziz; Gökay, Rıdvan; Aydın, Mahmut Ozan; Bozkurt, Mehmet Abdussamet; Kocataş, Ali
- Abstract
BACKGROUND: Laparoscopic cholecystectomy (LC) is the accepted standard treatment for acute cholecystitis (AC) in patients eligible for surgery. Percutaneous cholecystostomy (PC) can provide a permanent treatment for high-risk patients for surgery or act as a bridge for later surgical treatment. This study is an evaluation of the use of PC during the current coronavirus 2019 (COVID-19) pandemic at a single hospital. METHODS: Fifty patients with AC were admitted as of the start of the COVID-19 pandemic in Turkey through June 2020. Patients with pancreatitis, cholangitis, and/or incomplete data were excluded from the study. Data of the remaining 36 patients included in the study were recorded and a descriptive statistical analysis was performed. The patients were divided into three groups: PC (n=14), only conservative treatment with antibiotherapy (OC) (n=14), and LC (n=8). The findings were compared with a group of 70 similar patients from the pre-pandemic period. RESULTS: The mean age of the pandemic period patients was 53 years (range: 26-78 years). The female/male ratio was 1.11. PC was preferred in eight (11%) patients in the same period of the previous year, whereas 14 (39%) patients underwent PC in the pandemic period. Four of the 36 pandemic patients were positive for COVID-19, including one member of the PC group. There was one (7.1%) mortality in the pandemic-period PC group due to cardiac arrest. The length of hospital stay between the groups based on the type of treatment was not statistically significant. CONCLUSION: LC is not recommended during the pandemic period; PC can be an effective and safe alternative for the treatment of AC.
- Subjects
CHOLECYSTITIS; CHOLECYSTOSTOMY; LAPAROSCOPY; OPERATIVE surgery; TREATMENT effectiveness; DATA analysis software; DESCRIPTIVE statistics; COVID-19 pandemic; EVALUATION
- Publication
Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi, 2021, Vol 27, Issue 1, p89
- ISSN
1306-696X
- Publication type
Article
- DOI
10.14744/tjtes.2020.69804