[Ultrasound-guided trans-parietohepatic cholecystostomy in the critical patient: current indications].
The appearance of acute cholecystitis can make to complicate a natural history of cholelitiasis or post-operating time of patients that have concomitant predisposition factors. The best therapy is the cholecystectomy but somewhere for the critical general conditions is too much dangerous to make a surgical procedure. However we need to stabilize patients conditions, also for a short time. Our experience suggest us that percutaneous transhepatic cholecystostomy is a simple method without any complications, efficacious to resolve the acute sepsis in patients with cholecystitis that not be able to tolerate a surgical procedure.
Bongarzoni
G
G
Dipartimento di Scienze Chirurgiche Sperimentali e Cliniche, Università degli Studi G. D'Annunzio, Chieti.
Bove
A
A
Palone
G
G
Scotti
U
U
Pesciaioli
C
C
Salvemini
C
C
Danza
C
C
Battagliola
D
D
Lepore
R
R
Corbellini
L
L
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D002764:Cholecystitis / Q000000981:diagnostic imaging* / Q000601:surgery*; D002767:Cholecystostomy / Q000379:methods*; D016638:Critical Illness; D005260:Female; D006801:Humans; D008297:Male; D014463:Ultrasonography