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Percutaneous cholecystostomy in high-risk elderly patients with acute cholecystitis: a lifesaving option
Murat Kapan1, Akin Onder, Guven Tekbas
1Department of General Surgery, Dicle University Medical Faculty, Diyarbakir, Turkey. drmuratkapan@gmail.com
Insights
Percutaneous cholecystostomy offers a safe treatment for elderly patients with acute cholecystitis, achieving high success rates. However, cholecystectomy is recommended due to high recurrence rates after the procedure.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Geriatric Medicine
Background:
- Acute cholecystitis poses significant risks in elderly patients with comorbidities.
- Percutaneous cholecystostomy serves as a less invasive option for managing acute cholecystitis in high-risk individuals.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous cholecystostomy in elderly patients with acute cholecystitis.
- To analyze outcomes including technical success, clinical improvement, complications, and mortality.
Main Methods:
- Retrospective review of 11 patients aged over 60 with acute cholecystitis and systemic disease.
- All patients underwent percutaneous cholecystostomy between June 2010 and May 2011.
Main Results:
- Technical success rate of 90.9% (10/11 patients).
- Clinical improvement observed in 81.8% of patients within 72 hours.
- Early complication rate was 18.2%, with a 18.2% mortality rate.
Conclusions:
- Percutaneous cholecystostomy is a viable procedure with low mortality and morbidity in high-risk elderly patients.
- Cholecystectomy is advised for patients in suitable condition due to the high recurrence rate associated with percutaneous cholecystostomy alone.
Purpose:
To analyze the results of percutaneous cholecystostomy in in high-risk elderly patients with acute cholecystitis.
Materials And Methods:
Between June 2010 and May 2011, 11 patients aged over 60 who had at least 1 systemic disease and underwent percutaneous cholecystostomy were reviewed retrospectively.
Results:
The procedure was technically successful in 10 (90.9%) patients. Clinical improvement was achieved in 81.8% of patients within 72 hours. Two patients received emergency surgery while elective cholecystostomy was performed in 5 patients. Percutaneous cholecystostomy was performed singly in 4 (36.4%) patients. Early complication rate was 18.2%. Two (18.2%) patients died.
Conclusion:
Percutaneous cholecystostomy can be performed with low mortality and morbidity. Cholecystectomy should be performed in all patients with suitable general conditions due to the high recurrence rates of percutaneous cholecystostomy.
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