title: Percutaneous cholecystostomy: safety of the transperitoneal route.
abstract: 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.
authors.affiliation: Department of Radiology, St Pauls Hospital, Vancouver, BC, Canada.
authors.forename: S J
authors.initials: SJ
authors.lastname: Garber
authors.forename: J R
authors.initials: JR
authors.lastname: Mathieson
authors.forename: P L
authors.initials: PL
authors.lastname: Cooperberg
authors.forename: J K
authors.initials: JK
authors.lastname: MacFarlane
mesh_terms: 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