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Percutaneous cholecystostomy: safety of the transperitoneal route
S J Garber1, J R Mathieson, P L Cooperberg
1Department of Radiology, St Pauls Hospital, Vancouver, BC, Canada.
Purpose:
The authors analyzed the safety and efficacy of transperitoneal percutaneous cholecystostomy (PC) in patients with acute cholecystitis.
Patients And Methods:
Thirty-four consecutive patients underwent transperitoneal PC for treatment of acute cholecystitis. A trocar technique was used for placement of the drainage catheter.
Results:
PC was technically successful in all patients. In 27 (79%) of 34 patients, symptoms of acute cholecystitis resolved within 7 days. Minor complications occurred in two patients (5%). Both patients developed a hematoma adjacent to the gallbladder; these resolved without treatment. No cases of bile leak or bile peritonitis occurred.
Conclusion:
The transperitoneal route is safe and effective for PC.