Show simple item record

AuthorEjaz Ahmed, Latif
AuthorInamullah
AuthorMahdi, Hijran
AuthorZarour, Ahmad
AuthorAftab, Zia
AuthorAboumarzouk, Omar M.
Available date2024-06-23T10:29:35Z
Publication Date2022-05-20
Publication NameThe Surgeon
Identifierhttp://dx.doi.org/10.1016/j.surge.2022.04.007
CitationLatif, E. A., Mahdi, H., Zarour, A., Aftab, Z., & Aboumarzouk, O. M. (2023). Is percutaneous extraction of gallstones safe and effective in high-risk patients? Evidence from a systematic review. The Surgeon, 21(2), 99-107.
ISSN1479-666X
URIhttps://www.sciencedirect.com/science/article/pii/S1479666X22000646
URIhttp://hdl.handle.net/10576/56175
AbstractGallstone disease in high-risk patients presents a management dilemma as cholecystectomy is often not performed due to their co-morbidities. Alternatively, such patients can be managed by percutaneous removal of gallstones. To date, there is paucity of high-quality evidence addressing the safety and efficacy of percutaneous cholecystolithotomy in high-risk patients.We aimed to conduct a systematic review on the feasibility of percutaneous gallstone removal in high-risk patients. MethodsA literature review was conducted using the Cochrane review and preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines without setting the time limits to assess the outcomes of percutaneous gallstone removal in high-risk patients. ResultsTwelve studies were identified. A total of 435 patients underwent percutaneous gallstone removal. Success rate was 91%. Overall complications (including minor and major) were 28%. The mean length of stay was 7 days (range, 1–80). Procedure related mortality was 0.7%. The recurrence rate was 7%. ConclusionPercutaneous cholecystolithotomy is a safe and effective technique. Although, it cannot substitute the current standard treatment for gallstones i.e., laparoscopic cholecystectomy. However, it may be considered for the patients who cannot undergo laparoscopic cholecystectomy due to their comorbid conditions.
Languageen
PublisherElsevier
SubjectPercutaneous extraction
Cholecystitis
Gallstones
Cholecystolithotomy
Fluoroscopy
Choledochoscopy
Laparoscopic cholecystectomy
High-risk
Title“Is percutaneous extraction of gallstones safe and effective in high-risk patients? Evidence from a systematic review”
TypeArticle
Pagination99-107
Issue Number2
Volume Number21
ESSN2405-5840
dc.accessType Open Access


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record