Reassessment of simple cholecystostomy.
Cholecystostomy was performed on 22 patients with acute cholecystitis after partial (13) or complete (9) removal of gallbladder stones. One patient had complementary common-duct drainage. Early mortality occurred in two patients. Three patients with associated cholangitis but intraoperative reflux of cysticduct bile were all treated by cholecystostomy alone and survived. For the poor-risk patient with cholecystitis, cholecystostomy is effective. When there is associated cholangitis and documented cystic-duct patency, cholecystostomy is also sufficient. When accompanying cholangitis is associated with cystic-duct occlusion, choledochotomy and T tube drainage should be added.
D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000601:surgery; D002761:Cholangitis / Q000150:complications; D002764:Cholecystitis / Q000150:complications / Q000401:mortality / Q000601:surgery*; D002769:Cholelithiasis / Q000601:surgery*; D003135:Common Bile Duct / Q000601:surgery; D004322:Drainage; D005260:Female; D005704:Gallbladder / Q000601:surgery*; D005706:Gallbladder Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged