Percutaneous cholecystostomy: diagnostic and therapeutic efficacy

Area of Science:

• Interventional Radiology
• Gastroenterology
• Hepatobiliary Surgery

Background:

• Cholecystitis and biliary obstruction pose significant clinical challenges.
• Diagnostic cholangiography is crucial for evaluating biliary tract pathology.

Purpose of the Study:

• To evaluate the safety and efficacy of percutaneous cholecystostomy.
• To assess its utility in treating cholecystitis, biliary obstruction, and for diagnostic cholangiography.

Main Methods:

• Percutaneous cholecystostomy was performed in 32 patients.
• Indications included suspected cholecystitis, biliary obstruction, and diagnostic cholangiography.
• Outcomes measured included technical success, therapeutic/diagnostic benefit, and complications.

Main Results:

• 100% technical success rate for gallbladder catheterization.
• 91% therapeutic or diagnostic benefit achieved.
• No major complications or deaths; four minor complications reported.
• Successful treatment of severe cholecystitis (13/14 patients) and hyperbilirubinemia (5/6 patients).
• Diagnostic cholangiography successful in all ten patients.

Conclusions:

• Percutaneous cholecystostomy is a safe and effective minimally invasive procedure.
• It offers significant benefits in the diagnosis and management of various biliary tract problems.
• The procedure is well-tolerated with a low complication rate.