A systematic review encompassing 22,349 patients revealed substantial variability in postinsertion management of cholecystostomy tubes for acute cholecystitis. While 92.7% of studies utilized follow-up imaging, protocols varied significantly regarding timing and necessity. Tube removal averaged over four weeks post-insertion in many cases, and interval cholecystectomies were predominantly carried out after five weeks. The high clinical heterogeneity and reliance on retrospective studies complicate a unified approach, underscoring the need for standardized management practices.
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