Ultrasound-guided percutaneous cholecystostomy in high-risk surgical patients

Granlund, Anna; Karlson, Britt‐Marie; Elvin, Anders; Rasmussen, I

doi:10.1007/s004230100211

Cited by 62 publications

(47 citation statements)

References 23 publications

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“…Thus, the true rate of recurrent symptoms may have even been higher if less severe symptoms not requiring hospitalization had been captured as well. While some authors have suggested that subsequent elective cholecystectomy may not be required due to low rates of recurrence [5,6,10,23,26], this study lends support to the practice of routine interval cholecystectomy as suggested by others [3,17,27]. These patients represent a high-risk population because of advanced age and/or significant medical comorbidities, and further episodes of biliary sepsis can also carry similarly high mortality rates [17].…”

Section: Discussionsupporting

confidence: 64%

Short- and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients

2011

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Percutaneous cholecystostomy is an alternative to cholecystectomy in patients with acute calculous cholecystitis who are at high risk for surgical mortality and morbidity. It appears to have a low complication rate and good clinical success. Because a significant number of patients suffer recurrent attacks, elective cholecystectomy should be considered routinely. Unfortunately, firm criteria for selecting percutaneous cholecystostomy over cholecystectomy are lacking, and the surgeon's clinical judgment is critically important.

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Section: Discussionsupporting

confidence: 64%

Short- and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients

2011

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“…Previous minor studies including 30 patients or less have examined the outcome of PC in patients with AAC (10,(15)(16)(17)(18). However, the majority of these studies did not distinguish between acalculous and calculous cholecystitis in their analyses.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Cholecystostomy is an Effective Definitive Treatment Option for Acute Acalculous Cholecystitis

et al. 2015

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Aims: acute acalculous cholecystitis can be treated with percutaneous cholecystostomy in critically ill patients unfit for surgery. however, the evidence on the outcome is sparse. We conducted a retrospective analysis of acute acalculous cholecystitis patients treated with percutaneous cholecystostomy during a 10-year study period.Methods: an observational study of 56 consecutive patients treated with percutaneous cholecystostomy for acute acalculous cholecystitis was conducted in the period from 1 June 2002 to 31 may 2012. all data were obtained by review of medical records.Results: a total of 56 consecutive patients were treated with percutaneous cholecystostomy for acute acalculous cholecystitis. six patients (10.7%) died within 30 days after the procedure. Percutaneous cholecystostomy could serve as a definitive treatment option in 45 patients (80.4%), whereas 1 patient (1.8%) required cholecystectomy due to recurrence of cholecystitis. four patients (7.1%) were treated with percutaneous cholecystostomy as a bridging procedure to subsequent elective laparoscopic cholecystectomy within a median of 8.8 months (range: 7.7-33.4 months). there was no significant difference in the risk of cholecystitis recurrence between patients with (6/37) and without (2/3) contrast passage to the duodenum on cholangiography (p = 0.096).Conclusion: Percutaneous cholecystostomy is successful as a definitive treatment option in the majority of patients with acute acalculous cholecystitis. It is associated with a low rate of mortality and subsequent cholecystectomy.

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“…In our series, there was no mortality in relation to cholecystostomy and the morbidity related to this procedure was very low, including only one parietal hematoma and two catheter dislodgements. Bile leakage, hemorrhage, colonic injury, and vasovagal reactions have been reported [2,5,18]. A transhepatic approach in which the catheter enters the gallbladder through the hepatic parenchyma was utilized in our series.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous cholecystostomy for high-risk patients with acute cholecystitis

et al. 2005

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Ultrasound-guided percutaneous cholecystostomy in high-risk surgical patients

Abstract: USGPC is a procedure with few complications and a high success rate. In patients with acalculous cholecystitis as well as in many patients with calculous cholecystitis, no further treatment was needed.

Cited by 62 publications

References 23 publications

Short- and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients

Short- and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients

Percutaneous Cholecystostomy is an Effective Definitive Treatment Option for Acute Acalculous Cholecystitis

Percutaneous cholecystostomy for high-risk patients with acute cholecystitis

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