Percutaneous cholecystostomy: safety of the transperitoneal route.
OBJECTIVE
The authors analyzed the safety and efficacy of transperitoneal percutaneous cholecystostomy (PC) in patients with acute cholecystitis.


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.


CONCLUSIONS
The transperitoneal route is safe and effective for PC.
Garber
S J
SJ
Department of Radiology, St Pauls Hospital, Vancouver, BC, Canada.
Mathieson
J R
JR
Cooperberg
P L
PL
MacFarlane
J K
JK
D000208:Acute Disease; D002404:Catheterization / Q000379:methods; D002764:Cholecystitis / Q000453:epidemiology / Q000601:surgery*; D002767:Cholecystostomy / Q000379:methods*; D004322:Drainage / Q000379:methods; D005260:Female; D006406:Hematoma / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies