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  • Title: Percutaneous transhepatic cholecystostomy.
    Author: Lameris JS, Jeekel J, Havelaar IJ, von Seyen AJ.
    Journal: Rofo; 1985 Jan; 142(1):80-2. PubMed ID: 2982196.
    Abstract:
    Ultrasound-guided percutaneous cholecystostomy was performed in 11 patients. Indications were acute cholecystitis in 7 patients, and obstructive biliary disease in 4 patients. A transhepatic approach was used in all patients. In one patient, bile leakage was noticed during cholecystectomy. No other complications were seen. Three of five patients with a acalculous cholecystitis had a normal post-drainage cholangiogram and the drainage catheter could be removed. A follow-up of 5.5, and 26 months respectively, showed no recurrent disease. Three patients underwent surgery and the remaining five patients were drained until death by their underlying disease. Percutaneous cholecystostomy can be a life-saving and curative procedure in the critically ill patient, and, in case of acalculous cholecystitis, the only one needed.
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