title: Percutaneous cholecystostomy in high-risk elderly patients with acute cholecystitis: a lifesaving option.
abstract: OBJECTIVE
  To analyze the results of percutaneous cholecystostomy in in high-risk elderly patients with acute cholecystitis.
  
  
  METHODS
  Between June 2010 and May 2011, 11 patients aged over 60 who had at least 1 systemic disease and underwent percutaneous cholecystostomy were reviewed retrospectively.
  
  
  RESULTS
  The procedure was technically successful in 10 (90.9%) patients. Clinical improvement was achieved in 81.8% of patients within 72 hours. Two patients received emergency surgery while elective cholecystostomy was performed in 5 patients. Percutaneous cholecystostomy was performed singly in 4 (36.4%) patients. Early complication rate was 18.2%. Two (18.2%) patients died.
  
  
  CONCLUSIONS
  Percutaneous cholecystostomy can be performed with low mortality and morbidity. Cholecystectomy should be performed in all patients with suitable general conditions due to the high recurrence rates of percutaneous cholecystostomy.
authors.affiliation: Department of General Surgery, Dicle University Medical Faculty, Diyarbakir, Turkey. drmuratkapan@gmail.com
authors.forename: Murat
authors.initials: M
authors.lastname: Kapan
authors.forename: Akin
authors.initials: A
authors.lastname: Onder
authors.forename: Guven
authors.initials: G
authors.lastname: Tekbas
authors.forename: Mesut
authors.initials: M
authors.lastname: Gul
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Aliosmanoglu
authors.forename: Zulfu
authors.initials: Z
authors.lastname: Arikanoglu
authors.forename: Mustafa
authors.initials: M
authors.lastname: Aldemir
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D041881:Cholecystitis, Acute / Q000601:surgery*; D002767:Cholecystostomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods