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Updated: Mar 30, 2026

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[Cholecystostomy--an obsolete or relevant treatment?].

L Martínek, D Kostrouch, J Hoch

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
    |November 6, 2015
    PubMed
    Summary

    CT-guided percutaneous cholecystostomy is a safe and effective emergency treatment for acute cholecystitis in elderly, critically ill patients unfit for surgery. This procedure demonstrates a high success rate with manageable complications, offering a viable alternative to immediate surgery.

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    Area of Science:

    • Interventional Radiology
    • Surgical Gastroenterology
    • Emergency Medicine

    Background:

    • Percutaneous cholecystostomy serves as an emergency treatment for acute cholecystitis when conservative measures fail in elderly and critically ill patients.
    • The study addresses the current relevance and potential obsolescence of this interventional technique.

    Purpose of the Study:

    • To evaluate the efficacy and safety of CT-guided percutaneous cholecystostomy.
    • To assess short- and long-term outcomes in patients unsuitable for surgery.

    Main Methods:

    • Retrospective review of patient data from 2010-2015.
    • Analysis of success rates, complications, and patient outcomes following CT-guided percutaneous cholecystostomy.

    Main Results:

    • A total of 30 patients (mean age 78 years) underwent the procedure.
    • Successful treatment in 77% of patients with initial drainage; 23% required further intervention (repeat drainage or cholecystectomy).
    • The 30-day mortality rate was 17%, with a 10% indication-related mortality. Recurrence rate was 10%.

    Conclusions:

    • CT-guided percutaneous cholecystostomy is a safe and effective therapeutic option.
    • It is particularly valuable for patients who are poor candidates for surgical cholecystectomy.