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.
Dabus
Guilherme de Castro
Gde C
Department of Radiology, Faculdade de Ciências Médicas, Universidade de Campinas, Campinas, São Paulo, Brazil. gdabus@uol.com.br
Dertkigil
Sérgio San Juan
SS
Baracat
Jamal
J
D000208:Acute Disease; D002764:Cholecystitis / Q000628:therapy*; D002767:Cholecystostomy / Q000379:methods*; D016638:Critical Illness; D006801:Humans; D019060:Minimally Invasive Surgical Procedures