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Percutaneous transhepatic cholecystostomy.

J S Lameris, J Jeekel, I J Havelaar

Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin

|January 1, 1985

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Ultrasound-guided percutaneous cholecystostomy offers a life-saving option for critically ill patients. This minimally invasive procedure is effective for acute cholecystitis and acalculous cholecystitis, potentially avoiding surgery.

Area of Science:

Interventional Radiology
Hepatobiliary Surgery

Background:

Acute cholecystitis and obstructive biliary disease are common clinical challenges.
Critically ill patients often present with complex biliary pathology, posing treatment difficulties.

Purpose of the Study:

To evaluate the safety and efficacy of ultrasound-guided percutaneous cholecystostomy.
To assess its role in managing acute cholecystitis and obstructive biliary disease.

Main Methods:

Eleven patients underwent ultrasound-guided percutaneous cholecystostomy with a transhepatic approach.
Indications included acute cholecystitis (7 patients) and obstructive biliary disease (4 patients).

Main Results:

One patient experienced bile leakage during subsequent cholecystectomy; no other complications occurred.

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Three of five patients with acalculous cholecystitis had normal post-drainage cholangiograms and catheter removal.

Follow-up showed no recurrent disease in patients treated with drainage.

Conclusions:

Percutaneous cholecystostomy is a safe and effective life-saving procedure for critically ill patients.
It can be a curative treatment for acalculous cholecystitis, potentially obviating the need for surgery.