The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Cherepanin A.I.

Pirogov Russian National Research Medical University

Anaskin S.G.

Medical Faculty, Branch of the National Research Nuclear University MEPhI

Sherov R.R.

Medical Faculty, Kyrgyz-Russian Slavic University named after B.N. Yeltsin

Mirsaidov M.N.

Clinical Hospital No. 8 of the Federal Medical-Biological Agency

Modern methods of gallbladder decompression in acute cholecystitis for patients with high surgical risk

Authors:

Cherepanin A.I., Anaskin S.G., Sherov R.R., Mirsaidov M.N.

More about the authors

Journal: Russian Journal of Evidence-Based Gastroenterology. 2024;13(4): 51‑58

DOI: 10.17116/dokgastro20241304151

Views: 445

Downloaded: 22

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Cherepanin AI, Anaskin SG, Sherov RR, Mirsaidov MN. Modern methods of gallbladder decompression in acute cholecystitis for patients with high surgical risk. Russian Journal of Evidence-Based Gastroenterology. 2024;13(4):51‑58. (In Russ.)
https://doi.org/10.17116/dokgastro20241304151

МСФ на ЯМ
Close metadata

Acute cholecystitis (AC) is the second most common surgical condition of the abdominal organs, particularly prevalent among elderly patients. Cholecystectomy is considered the “gold standard” treatment; however, its performance may be challenging in patients with high surgical risk. As a result, decompressive interventions are playing an increasingly important role, either for temporary relief of symptoms or as an alternative to surgery.

OBJECTIVE

To analyze the scientific literature on modern minimally invasive methods of gallbladder decompression in acute cholecystitis for patients with high surgical risk.

KEY POINTS

Gallbladder decompression can be performed through percutaneous or endoscopic approaches. Percutaneous methods (percutaneous transhepatic puncture and drainage) are less technologically demanding but are accessible and effective for temporary decompression, especially in critically ill patients. The main drawbacks include the risk of post-puncture complications and recurrence of cholecystitis after drain removal. Endoscopic methods (transpapillary and transmural drainage under endoscopic ultrasound guidance) require advanced equipment and specialized expertise. They offer several advantages, including a lower risk of recurrence, but are associated with technical difficulties and potential complications, such as stent migration.

CONCLUSION

Gallbladder decompression is an important alternative for patients with high surgical and anesthetic risk. The choice of method (percutaneous or endoscopic) should be based on equipment availability, specialist expertise, and the patient’s prognosis. Preventing recurrence of cholecystitis and reducing complication rates remain critical aspects of patient management.

Keywords:

acute cholecystitis
gallbladder decompression
percutaneous cholecystostomy
endoscopic ultrasound-guided drainage
minimally invasive surgical procedures

Authors:

Cherepanin A.I.

Pirogov Russian National Research Medical University

Anaskin S.G.

Medical Faculty, Branch of the National Research Nuclear University MEPhI

Sherov R.R.

Medical Faculty, Kyrgyz-Russian Slavic University named after B.N. Yeltsin

Mirsaidov M.N.

Clinical Hospital No. 8 of the Federal Medical-Biological Agency

Received:

12.09.2024

Accepted:

23.09.2024

List of references:

  1. Revishvili ASh, Fedorov AV, Sazhin VP, Olovyanny VE. Emergency surgery in Russian Federation. Pirogov Russian Journal of Surgery. 2019;(3):88-97. (In Russ.). https://doi.org/10.17116/hirurgia201903188
  2. Klinicheskie rekomendatsii. Ostryj kholetsistit. 2021. Odobreno Nauchno-prakticheskim Sovetom Ministerstva zdravookhraneniya Rossijskoj Federatsii. (In Russ.). Accessed October 08, 2024. https://cr.minzdrav.gov.ru/recomend/324_2
  3. Ukhanov AP, Ignat’ev AI, Kovalev SV, Chakhmakhchev SR, Novozhilov EV, Artiukhov SV, Charchian GL, Khachatryan GB, Uvertkin RYu. Laparoscopic cholecystectomy for destructive cholecystitis in elderly patients. Endoscopic Surgery. 2012;18(2):16-20. (In Russ.).
  4. Hirota M, Takada T, Kawarada Y, Nimura Y, Miura F, Hirata K, Mayumi T, Yoshida M, Strasberg S, Pitt H, Gadacz TR, de Santibanes E, Gouma DJ, Solomkin JS, Belghiti J, Neuhaus H, Büchler MW, Fan ST, Ker CG, Padbury RT, Liau KH, Hilvano SC, Belli G, Windsor JA, Dervenis C. Diagnostic criteria and severity assessment of acute cholecystitis: Tokyo Guidelines. Journal of Hepato-Biliary-Pancreatic Surgery. 2007;14(1):78-82.  https://doi.org/10.1007/s00534-006-1159-4
  5. Yokoe M, Hata J, Takada T, Strasberg SM, Asbun HJ, Wakabayashi G, Kozaka K, Endo I, Deziel DJ, Miura F, Okamoto K, Hwang TL, Huang WS, Ker CG, Chen MF, Han HS, Yoon YS, Choi IS, Yoon DS, Noguchi Y, Shikata S, Ukai T, Higuchi R, Gabata T, Mori Y, Iwashita Y, Hibi T, Jagannath P, Jonas E, Liau KH, Dervenis C, Gouma DJ, Cherqui D, Belli G, Garden OJ, Giménez ME, de Santibañes E, Suzuki K, Umezawa A, Supe AN, Pitt HA, Singh H, Chan ACW, Lau WY, Teoh AYB, Honda G, Sugioka A, Asai K, Gomi H, Itoi T, Kiriyama S, Yoshida M, Mayumi T, Matsumura N, Tokumura H, Kitano S, Hirata K, Inui K, Sumiyama Y, Yamamoto M. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). Journal of Hepato-Biliary-Pancreatic Sciences. 2018;25(1):41-54.  https://doi.org/10.1002/jhbp.515
  6. Okamoto K, Suzuki K, Takada T, Strasberg SM, Asbun HJ, Endo I, Iwashita Y, Hibi T, Pitt HA, Umezawa A, Asai K, Han HS, Hwang TL, Mori Y, Yoon YS, Huang WS, Belli G, Dervenis C, Yokoe M, Kiriyama S, Itoi T, Jagannath P, Garden OJ, Miura F, Nakamura M, Horiguchi A, Wakabayashi G, Cherqui D, de Santibañes E, Shikata S, Noguchi Y, Ukai T, Higuchi R, Wada K, Honda G, Supe AN, Yoshida M, Mayumi T, Gouma DJ, Deziel DJ, Liau KH, Chen MF, Shibao K, Liu KH, Su CH, Chan ACW, Yoon DS, Choi IS, Jonas E, Chen XP, Fan ST, Ker CG, Giménez ME, Kitano S, Inomata M, Hirata K, Inui K, Sumiyama Y, Yamamoto M. Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences. 2018;25(1):55-72.  https://doi.org/10.1002/jhbp.516
  7. Charlson ME, Carrozzino D, Guidi J, Patierno C. Charlson Comorbidity Index: A Critical Review of Clinimetric Properties. Psychotherapy and Psychosomatics. 2022;91(1):8-35.  https://doi.org/10.1159/000521288
  8. Khrupkin VI, Afanas’ev AN, Glagolev NS. Decompression methods in treatment of high surgical risk patients with acute obstructive cholecystitis (review of the literature). Vestnik eksperimental’noj i klinicheskoj khirurgii. 2014;7(4):424-430. (In Russ.).
  9. Hashimoto R. Minds Guide for Developing Clinical Practice Guidelines Ver. 2.0 by Japan Council for Quality Health Care -Practice of EBM-. Seishin Shinkeigaku Zasshi = Psychiatria et neurologia Japonica. 2017;119(3):158-165. 
  10. Radder RW. Ultrasonically guided percutaneous catheter drainage for gallbladder empyema. Diagnostic Imaging. 1980;49(6):330-333. 
  11. Qaseem A, Kansagara D, Lin JS, Mustafa RA, Wilt TJ; Clinical Guidelines Committee of the American College of Physicians; Forciea MA, Crandall CJ, Fitterman N, Hicks LA, Horwitch CA, Maroto M, McLean RM, Roa JH, Tufte JE, Vijan S. The Development of Clinical Guidelines and Guidance Statements by the Clinical Guidelines Committee of the American College of Physicians: Update of Methods. Annals of Internal Medicine. 2019;170(12):863-870.  https://doi.org/10.7326/M18-3290
  12. Yoshida M, Kinoshita Y, Watanabe M, Sugano K. JSGE Clinical Practice Guidelines 2014: standards, methods, and process of developing the guidelines. Journal of Gastroenterology. 2015;50(1):4-10.  https://doi.org/10.1007/s00535-014-1016-1
  13. Calero García R, Garcia-Hidalgo Alonso MI. Basic interventional radiology in the abdomen. Radiologia. 2016;58(Suppl 2):29-44.  https://doi.org/10.1016/j.rx.2016.03.006
  14. Furtado R, Le Page P, Dunn G, Falk GL. High rate of common bile duct stones and postoperative abscess following percutaneous cholecystostomy. Annals of the Royal College of Surgeons of England. 2016;98(2):102-106.  https://doi.org/10.1308/rcsann.2016.0004
  15. Friedrich AU, Baratta KP, Lewis J, Karam AR, Hudlin M, Litwin DE, Cahan MA. Cholecystostomy Treatment in an ICU Population: Complications and Risks. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques. 2016;26(5):410-416.  https://doi.org/10.1097/SLE.0000000000000319
  16. Alvino DML, Fong ZV, McCarthy CJ, Velmahos G, Lillemoe KD, Mueller PR, Fagenholz PJ. Long-Term Outcomes Following Percutaneous Cholecystostomy Tube Placement for Treatment of Acute Calculous Cholecystitis. Journal of Gastrointestinal Surgery. 2017;21(5):761-769.  https://doi.org/10.1007/s11605-017-3375-4
  17. Chudnyh SM, Kulezneva YuV, Shtil’man MI, Sidoruk AA, Artyukhov AA. Percutaneous ultrasound interventions in patients with acute cholecystitis with high operational risk. Diagnosticheskaya i interventsionnaya radiologiya. 2012;4:51-58. (In Russ.).
  18. Shapkin YuG, Kapralov SV, Ismailov UZ. Minimally invasive decompression of the gallbladder in acute destructive cholecystitis, as an alternative to emergency surgery in patients with high surgical and anesthetic risk. Byulleten’ meditsinskikh internet-konferentsij. 2011;1(2):13-18. (In Russ.).
  19. Khrupkin VI, Afanas’ev AN, Glagolev NS. Comparative analysis of US-guided diapeutic decompression interventions in acute obstructive cholecystitis in patients with high surgical-anesthetic risk. Vestnik Novgorodskogo gosudarstvennogo universiteta. 2015;2(85): 62-67. (In Russ.).
  20. Hasbahceci M, Cengiz MB, Malya FU, Kunduz E, Memmi N. The impact of a percutaneous cholecystostomy catheter in situ until the time of cholecystectomy on the development of recurrent acute cholecystitis: a historical cohort study. Revista Espanola de Enfermedades Digestivas. 2018;110(10):629-633.  https://doi.org/10.17235/reed.2018.5644/2018
  21. Cortázar García R, Sánchez Rodríguez P, Ramos García M. Percutaneous cholecystostomy to treat acute cholecystitis in patients with high risk for surgery. Radiologia. 2016;58(2):136-144.  https://doi.org/10.1016/j.rx.2015.09.006
  22. Kim D, Iqbal SI, Ahari HK, Molgaard CP, Flacke S, Davison BD. Expanding role of percutaneous cholecystostomy and interventional radiology for the management of acute cholecystitis: An analysis of 144 patients. Diagnostic and Interventional Imaging. 2018;99(1):15-21.  https://doi.org/10.1016/j.diii.2017.04.006
  23. Wang CH, Wu CY, Yang JC, Lien WC, Wang HP, Liu KL, Wu YM, Chen SC. Long-Term Outcomes of Patients with Acute Cholecystitis after Successful Percutaneous Cholecystostomy Treatment and the Risk Factors for Recurrence: A Decade Experience at a Single Center. PLoS One. 2016;11(1):e0148017. https://doi.org/10.1371/journal.pone.0148017
  24. Kim SY, Yoo KS. Efficacy of preoperative percutaneous cholecystostomy in the management of acute cholecystitis according to severity grades. Korean Journal of Internal Medicine. 2018;33(3): 497-505.  https://doi.org/10.3904/kjim.2016.209
  25. Furtado R, Le Page P, Dunn G, Falk GL. High rate of common bile duct stones and postoperative abscess following percutaneous cholecystostomy. Annals of the Royal College of Surgeons of England. 2016;98(2):102-106.  https://doi.org/10.1308/rcsann.2016.0004
  26. Aksenov IV, Onopriev AV, Shejranov NS. Endoscopic cholecystectomy in acute cholecystitis in elderly and senile patients. Kubanskij nauchnyj meditsinskij vestnik. 2013;3(138):24-26. (In Russ.).
  27. Aly MS, Jamal Z, Khawaja Z, Kieu PL, Zafar N, Kanakalingam D, Khalil A. Outcomes of Percutaneous Image-Guided and Laparoscopic Cholecystostomies in High-Risk Patients With Acute Calculus Cholecystitis: A Five-Year District General Hospital Experience. Cureus. 2024;16(2):e54313. https://doi.org/10.7759/cureus.54313
  28. Morales-Maza J, Rodríguez-Quintero JH, Santes O, Hernández-Villegas AC, Clemente-Gutiérrez U, Sánchez-Morales GE, Mier Y Terán-Ellis S, Pantoja JP, Mercado MA. Percutaneous cholecystostomy as treatment for acute cholecystitis: What has happened over the last five years? A literature review. Revista de Gastroenterologia de Mexico. 2019;84(4):482-491.  https://doi.org/10.1016/j.rgmx.2019.06.004
  29. Park SE, Nam IC, Baek HJ, Ryu KH, Lim SG, Won JH, Kim DR. Effectiveness of ultrasound-guided percutaneous transhepatic biliary drainage to reduce radiation exposure: A single-center experience. PLoS One. 2022;17(11):e0277272. https://doi.org/10.1371/journal.pone.0277272
  30. Mizumoto H, Takara K, Suzuki Y, Matsutani S, Tsuchiya Y, Ohto M. Treatment of acute cholecystitis by direct-puncture bile aspiration with ultrasound-image control. Nihon Shokakibyo Gakkai Zasshi. 1992;89(1):61-67. 
  31. Tsuyuguchi T, Takada T, Kawarada Y, Nimura Y, Wada K, Nagino M, Mayumi T, Yoshida M, Miura F, Tanaka A, Yamashita Y, Hirota M, Hirata K, Yasuda H, Kimura Y, Neuhaus H, Strasberg S, Pitt H, Belghiti J, Belli G, Windsor JA, Chen MF, Kim SW, Dervenis C. Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines. Journal of Hepato-Biliary-Pancreatic Surgery. 2007;14(1):46-51.  https://doi.org/10.1007/s00534-006-1155-8
  32. Chopra S, Dodd GD 3rd, Mumbower AL, Chintapalli KN, Schwesinger WH, Sirinek KR, Dorman JP, Rhim H. Treatment of acute cholecystitis in non-critically ill patients at high surgical risk: comparison of clinical outcomes after gallbladder aspiration and after percutaneous cholecystostomy. AJR. American Journal of Roentgenology. 2001;176(4):1025-1031. https://doi.org/10.2214/ajr.176.4.1761025
  33. Hatzidakis AA, Prassopoulos P, Petinarakis I, Sanidas E, Chrysos E, Chalkiadakis G, Tsiftsis D, Gourtsoyiannis NC. Acute cholecystitis in high-risk patients: percutaneous cholecystostomy vs conservative treatment. European Radiology. 2002;12(7):1778-1784. https://doi.org/10.1007/s00330-001-1247-4
  34. Haas I, Lahat E, Griton Y, Shmulevsky P, Shichman S, Elad G, Kammar C, Yaslovich O, Kendror S, Ben-Ari A, Paran H. Percutaneous aspiration of the gall bladder for the treatment of acute cholecystitis: a prospective study. Surgical Endoscopy. 2016;30(5):1948-1951. https://doi.org/10.1007/s00464-015-4419-z
  35. Jeon HW, Jung KU, Lee MY, Hong HP, Shin JH, Lee SR. Surgical outcomes of percutaneous transhepatic gallbladder drainage in acute cholecystitis grade II patients according to time of surgery. Asian Journal of Surgery. 2021;44(1):334-338.  https://doi.org/10.1016/j.asjsur.2020.08.008
  36. Nesterenko YuA, Mikhailusov SV, Tronin RYu, Khokonov MA, Kan VI, Shevchenko MV, Balkizov ZZ, Solomakhin AE. Acute cholecystitis in the elderly and the elderly. Klinicheskaya gerontologiya.2006;12(6):40-46. (In Russ.).
  37. Khat’kov IE, Chudnykh SM, Kulezneva IuV, Shtil’man MI, Sidoruk AA, Artiukhov AA. New minimally invasive methods of treatment of acute cholecystitis. Endoscopic Surgery. 2012;18(1):3-8. (In Russ.).
  38. Ishii S, Ogawa S, Akishita M. The State of Health in Older Adults in Japan: Trends in Disability, Chronic Medical Conditions and Mortality. PloS One. 2015;10(10):e0139639. https://doi.org/10.1371/journal.pone.0139639
  39. Hashimoto R. Minds Guide for Developing Clinical Practice Guidelines Ver. 2.0 by Japan Council for Quality Health Care -Practice of EBM-. Seishin Shinkeigaku Zasshi. 2017;119(3):158-165. 
  40. Expert Panel on Gastrointestinal Imaging; Russo GK, Zaheer A, Kamel IR, Porter KK, Archer-Arroyo K, Bashir MR, Cash BD, Fung A, McCrary M, McGuire BM, Shih RD, Stowers J, Thakrar KH, Vij A, Wahab SA, Zukotynski K, Carucci LR. ACR Appropriateness Criteria® Right Upper Quadrant Pain: 2022 Update. Journal of the American College of Radiology. 2023;20(5S):S211-S223. https://doi.org/10.1016/j.jacr.2023.02.011
  41. Small AJ, Irani S. EUS-guided gallbladder drainage vs. percutaneous gallbladder drainage. Endoscopic Ultrasound. 2018;7(2):89-92.  https://doi.org/10.4103/eus.eus_8_18
  42. Chan SM, Teoh AYB, Yip HC, Wong VWY, Chiu PWY, Ng EKW. Feasibility of peroral cholecystoscopy and advanced gallbladder interventions after EUS-guided gallbladder stenting (with video). Gastrointestinal Endoscopy. 2017;85:1225-1232. https://doi.org/10.1016/j.gie.2016.10.014
  43. Choi JH, Lee SS, Choi JH, Park DH, Seo DW, Lee SK, Kim MH. Long-term outcomes after endoscopic ultrasonography-guided gallbladder drainage for acute cholecystitis. Endoscopy. 2014;46(8): 656-661.  https://doi.org/10.1055/s-0034-1365720
  44. Higa JT, Irani SS. Endoscopic Methods for Gallbladder Drainage. Current Treatment Options in Gastroenterology. 2019;17(3):357-366.  https://doi.org/10.1007/s11938-019-00243-4
  45. Siddiqui A, Kunda R, Tyberg A, Arain MA, Noor A, Mumtaz T, Iqbal U, Loren DE, Kowalski TE, Adler DG, Saumoy M, Gaidhane M, Mallery S, Christiansen EM, Nieto J, Kahaleh M. Three-way comparative study of endoscopic ultrasound-guided transmural gallbladder drainage using lumen-apposing metal stents versus endoscopic transpapillary drainage versus percutaneous cholecystostomy for gallbladder drainage in high-risk surgical patients with acute cholecystitis: clinical outcomes and success in an International, Multicenter Study. Surgical Endoscopy. 2019;33(4):1260-1270. https://doi.org/10.1007/s00464-018-6406-7
  46. Anderloni A, Buda A, Vieceli F, Khashab MA, Hassan C, Repici A. Endoscopic ultrasound-guided transmural stenting for gallbladder drainage in high-risk patients with acute cholecystitis: a systematic review and pooled analysis. Surgical Endoscopy. 2016;30(12):5200-5208. https://doi.org/10.1007/s00464-016-4894-x
  47. Hasan MK, Itoi T, Varadarajulu S. Endoscopic management of acute cholecystitis. Gastrointestinal Endoscopy Clinics of North America. 2013;23(2):453-459.  https://doi.org/10.1016/j.giec.2012.12.010
  48. Tyberg A, Jha K, Shah S, Kedia P, Gaidhane M, Kahaleh M. EUS-guided gallbladder drainage: a learning curve modified by technical progress. Endoscopy International Open. 2020;8(1):E92-E96.  https://doi.org/10.1055/a-1005-6602
  49. Podboy A, Yuan J, Stave CD, Chan SM, Hwang JH, Teoh AYB. Comparison of EUS-guided endoscopic transpapillary and percutaneous gallbladder drainage for acute cholecystitis: a systematic review with network meta-analysis. Gastrointestinal Endoscopy. 2021;93(4):797-804.e1.  https://doi.org/10.1016/j.gie.2020.09.040
  50. Mohan BP, Khan SR, Trakroo S, Ponnada S, Jayaraj M, Asokkumar R, Adler DG. Endoscopic ultrasound-guided gallbladder drainage, transpapillary drainage, or percutaneous drainage in high-risk acute cholecystitis patients: a systematic review and comparative meta-analysis. Endoscopy. 2020;52(2):96-106. 
  51. Teoh AY, Perez-Miranda M, Kunda R, Lee SS, Irani S, Yeaton P, Sun S, Baron TH, Moon JH, Holt B, Khor CJL, Rerknimitr R, Bapaye A, Chan SM, Choi HJ, James TW, Kongkam P, Lee YN, Parekh P, Ridtitid W, Serna-Higuera C, Tan DMY, Torres-Yuste R. Outcomes of an international multicenter registry on EUS-guided gallbladder drainage in patients at high risk for cholecystectomy. Endoscopy International Open. 2019;7(8):E964-E973. https://doi.org/10.1055/a-0915-2098
  52. Tyberg A, Saumoy M, Sequeiros EV, Giovannini M, Artifon E, Teoh A, Nieto J, Desai AP, Kumta NA, Gaidhane M, Sharaiha RZ, Kahaleh M. EUS-guided Versus Percutaneous Gallbladder Drainage: Isn’t It Time to Convert? Journal of Clinical Gastroenterology. 2018;52(1):79-84.  https://doi.org/10.1097/MCG.0000000000000786
  53. Irani S, Ngamruengphong S, Teoh A, Will U, Nieto J, Abu Dayyeh BK, Gan SI, Larsen M, Yip HC, Topazian MD, Levy MJ, Thompson CC, Storm AC, Hajiyeva G, Ismail A, Chen YI, Bukhari M, Chavez YH, Kumbhari V, Khashab MA. Similar Efficacies of Endoscopic Ultrasound Gallbladder Drainage with a Lumen-Apposing Metal Stent versus Percutaneous Transhepatic Gallbladder Drainage for Acute Cholecystitis. Clinical Gastroenterology and Hepatology. 2017;15(5):738-745.  https://doi.org/10.1016/j.cgh.2016.12.021
  54. Teoh AYB, Kitano M, Itoi T, Pérez-Miranda M, Ogura T, Chan SM, Serna-Higuera C, Omoto S, Torres-Yuste R, Tsuichiya T, Wong KT, Leung CH, Chiu PWY, Ng EKW, Lau JYW. Endosonography-guided gallbladder drainage versus percutaneous cholecystostomy in very high-risk surgical patients with acute cholecystitis: an international randomised multicentre controlled superiority trial (DRAC 1). Gut. 2020;69(6):1085-1091. https://doi.org/10.1136/gutjnl-2019-319996
  55. Teoh AYB, Serna C, Penas I, Chong CCN, Perez-Miranda M, Ng EKW, Lau JYW. Endoscopic ultrasound-guided gallbladder drainage reduces adverse events compared with percutaneous cholecystostomy in patients who are unfit for cholecystectomy. Endoscopy. 2017;49(2):130-138. 
  56. Jang JW, Lee SS, Song TJ, Hyun YS, Park DY, Seo DW, Lee SK, Kim MH, Yun SC. Endoscopic ultrasound-guided transmural and percutaneous transhepatic gallbladder drainage are comparable for acute cholecystitis. Gastroenterology. 2012;142(4):805-811.  https://doi.org/10.1053/j.gastro.2011.12.051
  57. Ahmed O, Rogers AC, Bolger JC, Mastrosimone A, et al. Meta-analysis of outcomes of endoscopic ultrasound-guided gallbladder drainage versus percutaneous cholecystostomy for the management of acute cholecystitis. Surgical Endoscopy. 2018;32(4):1627-1635. https://doi.org/10.1007/s00464-018-6041-3
  58. Mishima K, Fujiyama Y, Wakabayashi T, Igarashi K, Ozaki T, Honda M, Mori S, Funamizu N, Tsutsui A, Okamoto N, Marescaux J, Wakabayashi G. Early laparoscopic cholecystectomy for acute cholecystitis following the Tokyo Guidelines 2018: a prospective single-center study of 201 consecutive cases. Surgical Endoscopy. 2023;37(8):6051-6061. https://doi.org/10.1007/s00464-023-10094-x

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.