Percutaneous interventional gallbladder procedures: personal experience and literature review

Area of Science:

• Interventional Radiology
• Gastroenterology
• Hepatobiliary Surgery

Background:

• Percutaneous gallbladder procedures offer minimally invasive options for diagnosis and treatment.
• Evaluating the safety and efficacy of these interventions is crucial for clinical practice.

Purpose of the Study:

• To discuss the authors' experience with percutaneous gallbladder procedures.
• To analyze the outcomes and complications of diagnostic and therapeutic interventions.
• To compare the observed complication rates with existing literature on percutaneous cholecystostomy.

Main Methods:

• Review of 58 percutaneous gallbladder procedures in 48 patients.
• Procedures included needle aspiration of bile, transcholecystic cholangiography (TCC), and percutaneous cholecystostomy (PC).
• Ultrasound and/or fluoroscopic guidance were utilized; literature review of 231 PC cases.

Main Results:

• Overall success rate of 98.3% (57/58 procedures).
• Overall complication rate of 13.8% (8/58), with 5.2% serious complications (bile peritonitis).
• Literature review showed a 7.8% complication rate for PC, including death, peritonitis, and vasovagal reactions.

Conclusions:

• Percutaneous gallbladder procedures are highly successful with a low rate of serious complications.
• Transcholecystic cholangiography and percutaneous cholecystostomy are effective diagnostic and therapeutic tools.
• The safety profile of these procedures is favorable compared to historical data.