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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2020; 4(01): 20-26
DOI: 10.1055/s-0040-1705263
Original Article

Image Guided Percutaneous Cholecystostomy–A Single Center Experience

Sathya Narayanan
1   Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Shyamkumar N. Keshava 
1   Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Vinu Moses
1   Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Munawwar Ahmed
1   Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Aswin Padmanabhan 
1   Department of Interventional Radiology, Division of Clinical Radiology, Christian Medical College, Vellore, Tamil Nadu, India
,
Philip Joseph
2   Department of HPB Surgery, Christian Medical College, Vellore, Tamil Nadu, India
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Abstract

Purpose To assess the technical feasibility of percutaneous cholecystostomy (PCC) for acute cholecystitis and formulate an algorithm for PCC.

Materials and methods This is a retrospective study of 35 patients (28 male and 7 female; mean age 60 years) who underwent image-guided PCC from 2008 to 2018 at a tertiary care hospital in South India. Descriptive summary statistics and frequencies were used to assess the technical success and complications.

Results The patients (35/35) presented with fever, abdominal pain, and a few of them had severe sepsis. All these patients were high risk for surgery considering the comorbidities (17/35) and hemodynamic instability (18/35). PCC was performed under ultrasoundguidance, through transhepatic approach, and using single puncture and modified single puncture techniques. The procedure was technically successful in all 35 patients (100%). Two patients (2/35) did not improve clinically after PCC; hence, they were taken up for emergency cholecystectomy with high-risk consent. One patient required a repeat procedure after 3 days due to tube dislodgement. There were no major procedure-related complications.

Conclusion Image-guided PCC can be performed safely and is effective for treating high-risk patients with acute cholecystitis.

Keywords

percutaneous cholecystostomy - ultrasound guidance - single puncture technique


Publication History

Article published online:
29 April 2020

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