"Is percutaneous extraction of gallstones safe and effective in high-risk patients? Evidence from a systematic review".
| Title: | "Is percutaneous extraction of gallstones safe and effective in high-risk patients? Evidence from a systematic review". |
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| Authors: | Latif EA; Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar. Electronic address: drejazahmedlatif@gmail.com.; Inamullah; Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar. Electronic address: Inam_jpmc@yahoo.com.; Mahdi H; Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar. Electronic address: hmahdi@hamad.qa.; Zarour A; Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar. Electronic address: azarour@hamad.qa.; Aftab Z; Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar. Electronic address: surgeonziaaftab81@gmail.com.; Aboumarzouk OM; Department of Surgery, Hamad Medical Corporation, Doha, Qatar; College of Medicine, Qatar University, Doha, Qatar; College of Medicine, University of Glasgow, Glasgow, UK. Electronic address: aboumarzouk@gmail.com. |
| Source: | The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland [Surgeon] 2023 Apr; Vol. 21 (2), pp. 99-107. Date of Electronic Publication: 2022 May 20. |
| Publication Type: | Systematic Review; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Publications Office, The Royal College of Surgeons of Edinburgh Country of Publication: Scotland NLM ID: 101168329 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1479-666X (Print) Linking ISSN: 1479666X NLM ISO Abbreviation: Surgeon Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Edinburgh : Publications Office, The Royal College of Surgeons of Edinburgh, 2003- |
| MeSH Terms: | Gallstones*/surgery ; Cholecystectomy, Laparoscopic*/adverse effects; Humans ; Cholecystectomy ; Comorbidity ; Time Factors |
| Abstract: | Gallstone 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.; Methods: A 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.; Results: Twelve 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%.; Conclusion: Percutaneous 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.; (Copyright © 2022 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.) |
| Competing Interests: | Declaration of competing interest All the authors have declared no conflict of interest. |
| Contributed Indexing: | Keywords: Cholecystitis; Cholecystolithotomy; Choledochoscopy; Fluoroscopy; Gallstones; High-risk; Laparoscopic cholecystectomy; Percutaneous extraction |
| Entry Date(s): | Date Created: 20220523 Date Completed: 20230314 Latest Revision: 20250623 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.surge.2022.04.007 |
| PMID: | 35606261 |
| Database: | MEDLINE |
Systematic Review; Journal Article