Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy
. J Vasc Interv Radiol 2010; 21(6): 789-95.
The patients with mild AC can be considered as candidates for LC, those in the moderate group can be treated with LC in equipped hospitals or managed with percutaneous cholecystostomy
, and those having severe AC require percutaneous cholecystostomy
.14 The difficulties involved in the surgery of cases having a severe form of AC vary according to the state of inflammation and fibrosis.
However, cholecystostomy should be avoided, although percutaneous cholecystostomy
tube (PCT) placement is considered a safe alternative to cholecystectomy for the treatment of ACC.
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.
Mumbower et al., "Treatment of acute chole-cystitis in non-critically ill patients at high surgical risk: comparison of clinical outcomes after gallbladder aspiration and after percutaneous cholecystostomy
," American Journal of Roentgenology (AJR), vol.
This is based on the data that suggests the mortality rate after percutaneous cholecystostomy
tube drainage (15.4%) is significantly higher than reported after early cholecystectomy (4.5%).13 With experience, early cholecystectomy increased significantly in all grades in our set-up (from 83.3% in 2009 to 91.9% in 2014, p=0.03).
versus gallbladder aspiration for acute cholecystitis: A prospective randomized controlled trial.
(PC) was described as a minimally invasive, image-guided procedure and has become an alternative treatment strategy for high-risk patients with acute calculous or acalculous cholecystitis who are unfit for urgent surgery (1,5).
Chan et al., "Early percutaneous cholecystostomy
in severe acute cholecystitis reduces the complication rate and duration of hospital stay," Medicine (United States), vol.
KEY WORDS: Biliary cyst, Percutaneous cholecystostomy
A percutaneous cholecystostomy
catheter was inserted and 60 mL of brown-colored aspirate was obtained.