Usefulness of laparoscopic cholecystostomy
in children with complicated choledochal cyst.
Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy
. J Vasc Interv Radiol 2010; 21(6): 789-95.
CT plays a critical role in patient management by suggesting the correct diagnosis based on characteristic imaging findings, identifying the complications especially in critically ill patients and reduce the morbidity and mortality by immediate percutaneous cholecystostomy
Taking acute gangrenous cholecystitis as an example, conservative surgery such as cholecystostomy
is theoretically suitable for patients with poor general condition, critical illness, and abnormal intraoperative blood pressure.
Laparoscopic button cholecystostomy
for progressive familial intrahepatic cholestasis in two children.
Gallbladder laden with gallstones or harbouring impacted gallstones in Hartmann's pouch were evacuated via a cholecystostomy
. Spillage of gallstones was minimised by the safe placement of Raytec swabs around the gallbladder.
On the following day, the patient was sent to Interventional Radiology for percutaneous cholecystostomy
. Since his symptoms did not improve, the patient ultimately underwent open cholecystectomy where the gallbladder was noted to be distended with patches of necrosis and free purulent fluid.
and interval laparoscopic cholecystectomy," Surgical Endoscopy, vol.
proposed an ultrasound-driven needle insertion robot for percutaneous cholecystostomy
, which is capable of modifying the needle path by real-time motion compensation through visual servo control before needle insertion .
Bedside ultrasound of the abdomen revealed acalculous acute cholecystitis, and a percutaneous cholecystostomy
tube was placed.
While a percutaneous cholecystostomy
can be an appropriate temporizing measure for patients with significant comorbidities, it does not address the longer-term problem of recurrent cholecystitis.
is an acceptable alternative especially in high-risk patients (19).