Gallbladder aspiration for acute cholecystitis in average-surgical-risk patients.
We conducted a retrospective case note review to assess whether or not gallbladder aspiration can be applied as a temporary measure for the treatment of acute cholecystitis in average-surgical-risk patients. Gallbladder aspiration was performed in 79 consecutive average-surgical-risk patients with acute cholecystitis, who had no indications of emergent surgery and who complained of severe colicky pain. Elective surgery became possible in 92% of patients by gallbladder aspiration. The percentage reached 97 when percutaneous cholecystostomy was added (four patients). Emergent surgery was needed in one patient suffering bile leakage following gallbladder aspiration. Colicky pain was controlled soon after the procedure in most cases. Neither major complications nor mortalities were observed in the following surgical therapies. It is suggested that gallbladder aspiration might be applied as a temporary measure for acute cholecystitis in average-surgical-risk patients, although early surgery should remain the primary choice of therapy in such patients.
Tazawa
J
J
Division of Gastrointestinal Diseases, Tsuchiura Kyodo General Hospital, Tsuchiura, Ibaraki, Japan. tzw-j@mwb.biglobe.ne.jp
Sanada
K
K
Sakai
Y
Y
Yamane
M
M
Kusano
F
F
Nagayama
K
K
Ito
K
K
Takiguchi
N
N
Hiranuma
S
S
Maeda
M
M
D000368:Aged; D000369:Aged, 80 and over; D041881:Cholecystitis, Acute / Q000628:therapy*; D002767:Cholecystostomy / Q000379:methods; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome