Related Experiment Video

Updated: May 1, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
03:56

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

2.8K

Can percutaneous cholecystostomy be a definitive management for acute cholecystitis in high-risk patients?

Enver Zerem1, Safet Omerović

  • 1*Department of Gastroenterology, University Clinical Center Tuzla, Tuzla †Department of Surgery, General Hospital Mostar, Mostar, Bosnia and Herzegovina.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|April 2, 2014
PubMed

Insights

Percutaneous cholecystostomy (PC) effectively treats acute cholecystitis in high-risk patients, with many not requiring further surgery. This procedure offers a safe alternative for those unfit for traditional operations.

Area of Science:

  • Interventional Radiology
  • Gastroenterology
  • Surgical Oncology

Background:

  • Acute cholecystitis (AC) poses significant risks for high-risk surgical patients.
  • Percutaneous cholecystostomy (PC) is an alternative drainage procedure for AC.
  • Evaluating PC's role in this patient population is crucial.

Purpose of the Study:

  • To assess the efficacy and safety of percutaneous cholecystostomy (PC).
  • To determine the long-term outcomes of PC in patients with acute cholecystitis (AC).
  • To evaluate the need for interval cholecystectomy after PC.

Main Methods:

  • Retrospective review of 36 patients undergoing PC for AC (2000-2011).
  • Analysis of overall morbidity, mortality, and subsequent cholecystectomy rates.
  • Assessment of PC success and long-term outcomes.

Main Results:

  • PC achieved initial symptom resolution in all patients within 3 days.
  • Overall mortality was 19.4% (7/36), with most deaths unrelated to AC.
  • PC served as a definitive treatment in 63.9% of cases, avoiding interval cholecystectomy.

Conclusions:

  • Percutaneous cholecystostomy (PC) is a safe and effective treatment for acute cholecystitis in patients unfit for surgery.
  • PC can obviate the need for subsequent cholecystectomy in a significant proportion of patients.
  • PC facilitates recovery and may serve as definitive management for selected AC patients.
Abstract

Related Concept Videos

Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
29
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
1.2K
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
563
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
1.1K
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
586
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
7.2K