Percutaneous Cholecystostomy : 60 Cases of Experience.
10.3348/jkrs.1996.34.1.89
- Author:
Sung Gwon KANG
1
;
Ho Young SONG
;
Hyun Ki YOON
;
Young Suk LEE
;
Won Woo KIM
;
Gyu Bo SUNG
Author Information
1. Department of Diagnostic Radiology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Bile duct radiology;
Bile ducts, interventional procedure;
Bile ducts, stenosis or obstruction;
Cholcystitis;
Gallbladder, interventional procedure
- MeSH:
Bile;
Cholecystectomy;
Cholecystitis, Acute;
Cholecystostomy*;
Emergencies;
Humans;
Liver;
Peritonitis;
Risk Factors
- From:Journal of the Korean Radiological Society
1996;34(1):89-93
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To review the effectiveness and complication of percutaneous cholecystostomy(PCCS). MATERIALS AND METHODS: We performed PCCS in 60 patient who presented with acute cholecystitis. The causes of acutecholecystitis were as follows : acalculous cholecystitis(n=8), calculous cholecystitis(n=23), GB hydrops(n=3), GBempyema(n=15), septic cholangitis(n=11). Of 60 patients, 36 patients had high risk factor for cholecystectomy :underlying malignancy(n=13), severe trauma(n=2), liver cirrhosis(n=3), diabetes mellitus(n=6), end stage renal disease(n=3), cardiac disease(n=3) and others(n=6). Cholecystostomy was done under ultrasonographic and fluoroscopic guide. RESULTS: The cholecystostomy was successfully in 59 patients, and failed in 1 patients. 15 patients improved without other procedure. 16 patients underwent cholecystectomy after improvement of their general condition. Severe complications of PCCS are as follows : bile peritonitis(n=6), hemoperitoneum(n=1), subphrenic abscess(n=1). Mild complication, such as pain, occured in most patients. Emergency operation was done in one patient who developed bile peritonitis. DISCUSSION: Cholecystostomy is effective and safe, especially incases of in operable patients who represent acute cholecystitis. Percutaneous cholecystostomy may substitiute surgical cholecystostomy.
