Percutaneous cholecystostomy in the management of high-risk patients presenting with acute cholecystitis: Timing and outcome at a single institution

Outcomes of percutaneous cholecystostomy and predictors of subsequent cholecystectomy

“…Of those discharged, five (21%) patients were readmitted with a recurrence. Previous studies report similar initial success rates of around 80–90%, as does a recent systematic review . The recurrence rate was also within previously reported ranges of 4–41% .…”

Role Of Percutaneous Cholecystostomy Tube Placement In The Management Of Acute Calculus Cholecystitis In High Risk Patients

“…There is an accumulating evidence in literature albeit at present of a weak nature, that the proportion relapsing with significant symptoms may not be large. 16,[18][19][20] This area needs prospective randomised trials to guide the decision-making process in these cases.…”

Acute cholecystitis managed in a rural surgical department

“…13 Our data showed that in such high-risk cases that even when a PC drain was deployed during the first admission, that the need for elective surgery can be selective 31 and that PC drainage can act as definitive management. 32,33 Although the treatment options are competitive, these patient groups are not, however, strictly comparable.…”

“…11 For such cases, PC drainage may be used either as a bridge towards a delayed LC or in higher-risk patients (ASA Grades III and IV) as definitive therapy. 12,13 The role in selected patients of an entirely conservative approach demands further prospective study. In this respect, Hatzidakis et al 14 showed no difference in outcome when comparing PC plus antibiotic therapy with conservative treatment alone with Akyurek and colleagues 15 suggesting that PC followed by early LC has a generally more favourable outcome than conservative treatment and a delayed LC approach.…”