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Published in: Journal of Gastrointestinal Surgery 6/2022

21-03-2022 | Cholecystitis | Original Article

Effect of Preserving the Percutaneous Gallbladder Drainage Tube Before Laparoscopic Cholecystectomy on Surgical Outcome: Post Hoc Analysis of the CSGO-HBP-017

Authors: Yoshito Tomimaru, MD, PhD, Nariaki Fukuchi, MD, PhD, Shigekazu Yokoyama, MD, PhD, Takuji Mori, MD, PhD, Masahiro Tanemura, MD, PhD, Kenji Sakai, MD, PhD, Yutaka Takeda, MD, PhD, Masanori Tsujie, MD, PhD, Terumasa Yamada, MD, PhD, Atsushi Miyamoto, MD, PhD, Yasuji Hashimoto, MD, PhD, Hisanori Hatano, MD, PhD, Junzo Shimizu, MD, PhD, Keishi Sugimoto, MD, PhD, Masaki Kashiwazaki, MD, PhD, Kenichi Matsumoto, MD, PhD, Shogo Kobayashi, MD, PhD, Yuichiro Doki, MD, PhD, Hidetoshi Eguchi, MD, PhD, on behalf of the Clinical Study Group of Osaka University, Hepato-Biliary-Pancreatic Group

Published in: Journal of Gastrointestinal Surgery | Issue 6/2022

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Abstract

Background

When percutaneous transhepatic gallbladder drainage (PTGBD) is followed by laparoscopic cholecystectomy (LC), there is no consensus regarding whether the drainage tube should be preserved or removed before LC. We hypothesized that the surgical results of LC might differ between cases with PTGBD tube preservation versus removal. Here, we investigated how drainage tube preservation or removal affected the surgical outcome of LC.

Methods

Using data from our previous multicenter study, we compared LC outcomes after PTGBD between patients with PTGBD tube preservation versus removal. This study included 208 patients who underwent LC over 12 days after PTGBD. In 83 cases, the PTGBD tube was preserved until LC, and in 125 cases, the tube was removed before LC. The results were verified by propensity score matching with 50 patients in each group.

Results

Cases with tube preservation versus removal exhibited significantly longer surgery duration (174 ± 105 min vs 145 ± 61 min, P = .0118) and postoperative hospital stay (14 ± 16 days vs 7 ± 7 days, P < .0001), a significantly higher postoperative complication rate (13.2% vs 3.2%, P = .0061), and a marginally higher incidence of open conversion (12.0% vs 4.8%, P = .0547). Propensity score matching verified the inferior surgical outcomes in cases with tube preservation.

Conclusions

These results imply that when LC is performed > 12 days after PTGBD, the surgical outcome may be inferior when the drainage tube is preserved rather than removed before LC.
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Metadata
Title
Effect of Preserving the Percutaneous Gallbladder Drainage Tube Before Laparoscopic Cholecystectomy on Surgical Outcome: Post Hoc Analysis of the CSGO-HBP-017
Authors
Yoshito Tomimaru, MD, PhD
Nariaki Fukuchi, MD, PhD
Shigekazu Yokoyama, MD, PhD
Takuji Mori, MD, PhD
Masahiro Tanemura, MD, PhD
Kenji Sakai, MD, PhD
Yutaka Takeda, MD, PhD
Masanori Tsujie, MD, PhD
Terumasa Yamada, MD, PhD
Atsushi Miyamoto, MD, PhD
Yasuji Hashimoto, MD, PhD
Hisanori Hatano, MD, PhD
Junzo Shimizu, MD, PhD
Keishi Sugimoto, MD, PhD
Masaki Kashiwazaki, MD, PhD
Kenichi Matsumoto, MD, PhD
Shogo Kobayashi, MD, PhD
Yuichiro Doki, MD, PhD
Hidetoshi Eguchi, MD, PhD
on behalf of the Clinical Study Group of Osaka University, Hepato-Biliary-Pancreatic Group
Publication date
21-03-2022
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 6/2022
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-022-05291-3

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