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Ultra sound guided percutaneous cholecystostomy.
S D Maurya1, M S Agarwal, R P Bhadauria
1Department of Surgery, S.N. Medical College, Agra.
International Surgery
|July 1, 1991
Summary
Ultrasound-guided percutaneous cholecystostomy is a safe and effective procedure for gallbladder drainage in patients with surgical jaundice or gallbladder empyema. This minimally invasive technique offers reliable access to the biliary tree.
Area of Science:
- Interventional Radiology
- Gastroenterology
- Surgical Oncology
Background:
- Percutaneous cholecystostomy is a minimally invasive procedure for gallbladder drainage.
- It is indicated in patients with surgical jaundice or gallbladder empyema.
- Ultrasound guidance enhances procedural accuracy and safety.
Purpose of the Study:
- To evaluate the efficacy and safety of ultrasound-guided percutaneous cholecystostomy.
- To assess its utility in achieving biliary decompression.
- To highlight its potential for accessing the biliary tree.
Main Methods:
- Ultrasound-guided percutaneous cholecystostomy was performed in 11 patients.
- Indications included surgical jaundice (9 patients) and gallbladder empyema (2 patients).
- Catheter placement and biliary decompression were monitored.
Main Results:
- Successful gallbladder catheter placement was achieved in all 11 patients.
- Biliary decompression was not achieved in one case due to cystic duct obstruction.
- No instances of bile leak or hemorrhage were reported.
Conclusions:
- Ultrasound-guided percutaneous cholecystostomy is a safe and effective procedure.
- It provides reliable access to the biliary tree for therapeutic interventions.
- The technique is well-tolerated with minimal complications.