Percutaneous Cholecystostomy as a Step or Final Treatment for Acute Cholecystitis

Alpen Yahya Gümüşoğlu, Hamit Ahmet Kabuli, Aysun Erbahçeci Salık, Çağlayan Çakır, Seymur Abdullayev, Kıvanç Derya Peker, Mehmet Karabulut, Gökhan Tolga Adaş
2021 Bakirkoy Tip Dergisi / Medical Journal of Bakirkoy  
Objective: This study aimed to investigate the effectiveness of percutaneous cholecystostomy (PC) as a step treatment in patients who underwent PC for acute cholecystitis. Methods: Data of 248 patients who underwent PC for acute cholecystitis between January 2015 and December 2019 were retrospectively analyzed. All patients who underwent PC were evaluated for a distal transition by cholangiography taken by the interventional radiology department in the third week after discharge. In addition,
more » ... l patients were re-evaluated by the anesthesia department. Patients were retrospectively evaluated in terms of age, gender, American Society of Anesthesiologists physical status (ASA-PS) class, surgical procedure, complications after PC, and termination of PC. Results: A total of 231 patients were included in the study. The mean age of patients was 68.6 (minimum-maximum: 32-92 years) and the male/ female ratio was 1.04. The anesthesia evaluation of the patients categorized 44 patients (19.05%) as ASA-PS class I-II and 187 (80.95%) as ASA-PS III-IV. A total of 17 (7.35%) patients died in the 30-day follow-up period. The examination of the remaining patient revealed that PC was used as a step treatment in the transition to elective cholecystostomy in 106 (45.8%) patients, whereas 108 (50.4%) had it as a final treatment method since an operation is impossible. The median follow-up period in these patients was 2.6 years. Recurrent cholecystitis developed in 14 (12.96%) patients in the group who underwent PC. Conclusion: PC should be noted as an alternative step treatment method for acute cholecystitis but maybe a final treatment option in patients with high comorbidity.
doi:10.4274/bmj.galenos.2021.80774 fatcat:c5ra3vmfjncx5damk5rywa6a2u