Percutaneous Cholecystostomy in Acute Calculus Cholecystitis: Current Management | Chapter 8 | An Overview of Disease and Health Research Vol. 9

 

Percutaneous cholecystostomy is an interventional radiological procedure that entails the insertion of a catheter into the gallbladder lumen for bile drainage. This procedure can be executed via either a transhepatic or transperitoneal approach. It is indicated for patients with severe acute calculus cholecystitis, serving to stabilise them prior to a subsequent laparoscopic cholecystectomy. Percutaneous cholecystostomy is considered a safe procedure, with the most prevalent complications being bleeding, perforation, and bile leakage. This chapter examined the role of percutaneous cholecystostomy in the management of acute calculus cholecystitis. Percutaneous cholecystostomy was compared with laparoscopic cholecystectomy as a definitive treatment for acute calculus cholecystitis, and the duration and timing of percutaneous cholecystostomy removal were explored. The study concluded that percutaneous cholecystostomy is a valuable, minimally invasive interim procedure for patients with severe acute calculus cholecystitis who are deemed unsuitable for surgical intervention.

 

 

Author(s) Details

Kumar Hari Rajah
School of Medicine Clinical Campus, Taylor’s University, 4700 Sg Buloh, Selangor, Malaysia.

 

Please see the book here :- https://doi.org/10.9734/bpi/aodhr/v9/7032

 

An Update on the Management of Acute Calculus Cholecystitis: A Review | Chapter 12 | An Overview of Disease and Health Research Vol. 1

The management of acute calculus cholecystitis has seen a change in management with the introduction of early laparoscopic cholecystectomy.  The management of high-risk patients or Tokyo Guideline grade 3, however, is an area of concern. Drainage of the gallbladder is a bridging procedure that is performed to stabilise patients to perform an interval cholecystectomy later. Percutaneous cholecystostomy is the most common drainage procedure, with endoscopic procedures like Endoscopic trans papillary gallbladder drainage and Endoscopic Ultrasound Gallbladder drainage being reserved for patients who will not undergo surgery. In this review, the role of early laparoscopic cholecystectomy, subtotal cholecystectomy, and drainage of the gallbladder in the management of acute cholecystitis is discussed.

 

Author (s) Details

Kumar H.R.
Taylor's University School of Medicine and Health Science, 47500 Selangor, Malaysia.

 

Please see the book here:- https://doi.org/10.9734/bpi/aodhr/v1/5546