In a study involving octogenarians with acute cholecystitis, percutaneous cholecystostomy (PC) improved preoperative conditions, including systemic inflammation and blood coagulation abnormalities, compared to upfront surgery (US). Patients undergoing PC had worse initial health status but exhibited higher elective surgery rates post-treatment. Remarkably, despite the complexity of cases, surgical quality indicators such as conversion rates and operative efficiency were favorable in the PC group, with no severe perioperative complications reported, highlighting its potential as a viable bridge to surgery.
Journal Article by Nishiwada S, Tanaka T (…) Yoshimura A et 12 al. in Am Surg