Percutaneous cholecystostomy: a nonsurgical therapeutic option for acute cholecystitis in high-risk and critically ill patients.
Percutaneous cholecystostomy offers a potentially important type of therapy for critically ill patients with acute cholecystitis who present high risk when undergoing laparotomy or laparoscopy under general anesthesia. It offers a distinct advantage for these kinds of patients by avoiding the risks of the surgical intervention. Percutaneous cholecystostomy is a safe and effective minimally invasive procedure with a high success rate and low procedure-related complications. It should be considered not only in temporary management of calculous cholecystitis, but also in definitive treatment in cases of acalculous cholecystitis.
Department of Radiology, Faculdade de Ciências Médicas, Universidade de Campinas, Campinas, São Paulo, Brazil. gdabus@uol.com.br
Guilherme de Castro
Gde C
Dabus
Sérgio San Juan
SS
Dertkigil
Jamal
J
Baracat
D000208:Acute Disease; D002764:Cholecystitis / Q000628:therapy*; D002767:Cholecystostomy / Q000379:methods*; D016638:Critical Illness; D006801:Humans; D019060:Minimally Invasive Surgical Procedures