Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	118795
Country	China

Category	Surgery
Manuscript Type	Letter to the Editor
Article Title	Timing matters in percutaneous cholecystostomy: Survival signals and unresolved catheter endpoints
Manuscript Source	Invited Manuscript
All Author List	Guang-Bin Chen, Zhi-Lin Wang, Ke Wang, Guang-Ming Xu, Long-Jiang Chen and Yu-Zhi Hu
Funding Agency and Grant Number
Corresponding Author	Yu-Zhi Hu, Chief Physician, MD, Department of Hepato-Pancreato-Biliary Surgery, The Second People’s Hospital of Wuhu, Wuhu Hospital Affiliated to East China Normal University, No. 6 Du Chun Road, Jinghu District, Wuhu 241000, Anhui Province, China. huyuzhisci@163.com
Key Words	Percutaneous cholecystostomy; Acute cholecystitis; Timing of intervention; Patient-centered outcomes; Catheter management; Survival; Clinical decision-making
Core Tip	Early percutaneous cholecystostomy (PC) improves short-term survival in high-risk patients with acute cholecystitis; however, survival alone may not capture the full spectrum of post-procedural outcomes. This commentary highlights the disconnection between early life-saving interventions and unresolved downstream endpoints, including prolonged catheter dependence and low definitive cholecystectomy rates. By emphasizing the importance of timing alongside a structured post-PC reassessment, we argue that standardized patient-centered management pathways are essential for translating early survival benefits into durable clinical outcomes.
Citation	Chen GB, Wang ZL, Wang K, Xu GM, Chen LJ, Hu YZ. Timing matters in percutaneous cholecystostomy: Survival signals and unresolved catheter endpoints. World J Gastrointest Surg 2026; In press

Received	2026-01-12 02:25
Peer-Review Started	2026-01-12 02:25
First Decision by Editorial Office Director	2026-01-19 07:26
Return for Revision	2026-01-19 07:26
Revised	2026-01-22 13:03
Publication Fee Transferred
Second Decision by Editor	2026-02-06 02:54
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-02-06 05:48
Articles in Press	2026-02-06 05:48
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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