Percutaneous Cholecystostomy in the Management of Acute Cholecystitis

Abstract

Percutaneous cholecystostomy is a useful alternative means of treating non-resolving acute cholecystitis in circumstances where emergency surgery is hazardous. It also offers effective palliation in patients not suitable for subsequent surgery.

Revisiting Percutaneous Cholecystostomy for Acute Cholecystitis Based on a 10-Year Experience

“…The severity of AC in our PC patient group is also indicated by the rate of conversion from laparoscopic to the open approach during interval CCY procedures, which was higher at 21.9% (7 of 32 procedures) compared with a weighted mean conversion rate of 11.7% (range,0%-31.0%) calculated in 178 interval CCY patients in the literature. 9,20,24,25,27 Our CCY-only group had a 24.0% (36 of 150 procedures) conversion rate, which was again on the higher end of the 11.0% to 28.0% reported range of CCY conversion rates. 4,[7][8][9][10][28][29][30] When indexes of patient illness and AC severity were factored into our multivariate analysis, the only independent predictor of PC vs CCY was the Charlson comorbidity index.…”

SAGES guidelines for the clinical application of laparoscopic biliary tract surgery

“…Laparoscopic cholecystectomy has become the preferred approach in patients with acute cholecystitis [93][94][95][96][97][98][99][100][101] [99,[115][116][117][118][119][120][121]. Laparoscopic cholecystectomy in the elderly (age [ 65 years) may be associated with higher morbidity and mortality [122,123].…”

Current Status of Laparoscopic Therapy of Cholecystolithiasis and Common Bile Duct Stones

“…Min et al [73] defi ned it if two or more of the clinical and operative fi ndings were positive: fever 1 37.5 ° C, right upper abdominal pain with tenderness 1 48 h, gallbladder wall 1 4 mm, adhesion to an adjacent organ and infl ammation of the gallbladder serosa [74] . Cameron [75] …”