Percutaneous cholecystostomy for acute cholecystitis: ten-year experience

Area of Science:

• Gastroenterology
• Interventional Radiology
• Surgical Outcomes

Background:

• Acute cholecystitis is a common surgical emergency.
• Percutaneous cholecystostomy is a minimally invasive procedure for gallbladder drainage.
• Identifying predictors of outcome is crucial for patient management.

Purpose of the Study:

• To evaluate the clinical course of patients with acute cholecystitis treated with percutaneous cholecystostomy.
• To identify risk factors influencing treatment outcomes.

Main Methods:

• Retrospective review of 106 patients with acute cholecystitis treated via percutaneous cholecystostomy over 10 years.
• Comparison of outcomes between patients presenting to the ED and inpatients.
• Analysis of clinical severity, laboratory values, imaging, and time intervals.

Main Results:

• 68% of patients showed clinical improvement after percutaneous cholecystostomy.
• Patients presenting to the ED had significantly better outcomes (84% improvement) than inpatients (34% improvement).
• Sepsis was associated with worse outcomes; cholecystectomy improved long-term results.

Conclusions:

• Percutaneous cholecystostomy is effective for acute cholecystitis, particularly when primary.
• Outcomes are less favorable when acute cholecystitis is secondary to other concurrent illnesses.
• Early surgical intervention via cholecystectomy may improve long-term prognosis.