title: [Echo-guided percutaneous cholecystostomy in the treatment of acute cholecystitis. Apropos of 41 cases].
abstract: Differents studies note many complications of the traditional cholecystectomy for acute cholecystitis in critically ill and very old patients. We report a retrospective study of ultrasound-guided cholecystostomy as an alternative treatment avoiding surgery in 41 patients between April 1988 and January 1994. Mean-age was 77.8 years (42-95). Hospital mortality concerned five (12.2%) patients. Four (9.8%) required surgical procedure, all of them with simple post-operative course. Six (14.6%) had a recurrence between 1 and 67 months after the end of the drainage. Twenty-six patients are considered as healed, without recurrence, after a mean-follow-up of 33 months. The percutaneous echoguided cholecystostomy seems to be a treatment of choice for patients with a contraindication for a surgical procedure. This technic allows an efficient treatment in patients with post-operative cholecystitis.
authors: Clinique Chirurgicale 1, Hôpital G.R. Laënnec, Nantes.
authors: J
authors: J
authors: Visset
authors: A
authors: A
authors: Hamy
authors: D
authors: D
authors: Likholatnikov
authors: F
authors: F
authors: Lerat
authors: F
authors: F
authors: Jurczak
authors: J
authors: J
authors: Paineau
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002764:Cholecystitis / Q000000981:diagnostic imaging / Q000601:surgery*; D002767:Cholecystostomy; D000075202:Contraindications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012189:Retrospective Studies; D012307:Risk Factors; D014463:Ultrasonography
vernacular_title: Cholécystostomie percutanée échoguidée dans le traitement de la cholécystite aiguë. A propos de 41 observations.