Editorial

Percutaneous Cholecystostomy for High-Risk Acute Cholecystitis Patients

Authors: Jean-Pierre Arnaud, MD, Patrick Pessaux, MD, PhD

Abstract

Percutaneous cholecystostomy is an alternative treatment to cholecystectomy for acute cholecystitis in patients who are either critically ill or at high risk. Performed under local anesthesia, it allows bacteriologic studies that are useful for selected antibiotic therapy, and it appears to be safer than gallbladder puncture because of the effective decompression of the biliary ducts.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Radder W. Ultrasonically guided percutaneous catheter drainage for gallbladder empyema. Diagn Imaging 1980;49:330–333.
 
2. Griniatsos J, Petrou A, Pappas P, et al. Percutaneous cholecystostomy without interval cholecystectomy as definitive treatment of acute cholecystitis in elderly and critically ill patients. South Med J 2008;101:586–590.
 
3. Welschbillig-Meunier K, Pessaux P, Lebigot J, et al. Percutaneous cholecystostomy for high-risk patients with acute cholecystitis. Surg Endosc 2005;19:1256–1259.