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Percutaneous cholecystostomy as a treatment for acute cholecystitis in patients at high surgical risk

Abstract:

Percutaneous cholecystostomy (PC) is a minimally invasive procedure used to treat acute cholecystitis in patients who are at high surgical risk. The standard treatment for acute cholecystitis is laparoscopic cholecystectomy, however, the management of patients with high surgical risk is often controversial. As a result, less invasive measures have been sought, such as percutaneous placement of a cholecystostomy tube, which allows for immediate adequate decompression and drainage of the inflamed gallbladder. Such treatment could be permanent or temporary, depending on whether the inflammation is under control or the patient is recovering from a critical illness. Having an early and accurate diagnosis and determining the severity of acute cholecystitis are essential for proper treatment. Due to the nature of acute cholecystitis, which can occasionally be life-threatening and limits the possibilities for other treatments due to the risk, there is no specific contraindication to percutaneous cholecystostomy. Nonetheless, there are indications for PC placement, and if placed early, its usefulness is significant and rapid. Moreover, clinical and technical success rates are both variable. The pathophysiology of acute cholecystitis pbkp_redisposes to the placement of a percutaneous drain. Finally, cholecystostomy is one of the best options because it has positive effects effects for patients who are at high surgical risk.