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A 10-Year Study on Percutaneous Cholecystostomy for Acute Cholecystitis at a Tertiary Referral Hospital

Margarita Ptasnuka1,2,3, Ita Lazdane1, Vladimirs Fokins1,2

  • 1Department of General and Emergency Surgery, Riga East Clinical University Hospital, LV-1038 Riga, Latvia.

Journal of Clinical Medicine
|January 28, 2026
PubMed

Insights

Percutaneous cholecystostomy (PC) offers a safe and effective treatment for acute cholecystitis (AC) in high-risk patients. This minimally invasive procedure demonstrates low complication and mortality rates, serving as a viable alternative to surgery.

Area of Science:

  • Medical procedures
  • Gastroenterology
  • Surgical interventions

Background:

  • Acute cholecystitis (AC) poses significant risks for high-surgical-risk patients.
  • Percutaneous cholecystostomy (PC) is a minimally invasive option for AC management.
  • PC can serve as a bridge to definitive surgical treatment for critically ill patients.

Purpose of the Study:

  • To evaluate the safety and efficacy of percutaneous cholecystostomy (PC) for acute cholecystitis (AC).
  • To analyze complication rates, recurrence, and survival outcomes over a 10-year period.
  • To identify risk factors associated with in-hospital mortality in patients undergoing PC for AC.

Main Methods:

  • Retrospective analysis of 449 patients who underwent PC for AC between January 2013 and May 2023.
  • Categorization into definitive treatment and bridging PC groups.
  • Analysis of clinical characteristics, complications, recurrence, survival, and mortality risk factors.

Main Results:

  • The majority of patients (89.5%) had an ASA score ≥ 3, indicating high surgical risk.
  • Drainage tube-related complications occurred in 8.2% of patients; no procedure-related deaths were reported.
  • Recurrent AC was observed in 7.6% of patients, with an overall mortality rate of 5.3%.

Conclusions:

  • Percutaneous cholecystostomy (PC) is a safe and effective treatment for acute cholecystitis (AC) in high-risk populations.
  • The procedure is associated with low complication and mortality rates.
  • Sepsis on admission emerged as an independent risk factor for in-hospital mortality.

Keywords:
acute cholecystitischolecystitis in older adultscholecystostomy

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