Abstract
Percutaneous cholecystostomy tube (PCT) placement is a viable method of treating acute cholecystitis in patients that are not surgical candidates for cholecystectomy. Appropriate selection of patients and proper follow up are essential for the use of this modality. PCT has an extremely high success rate of placement allowing the acute cholecystitis to resolve and plans to be made for the management of the patient’s gallbladder. Options post placement include interval cholecystectomy for patients that can tolerate surgery, destination tube placement, or removal of the tube in select individuals.
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References
Simorov A, Ranade A, Parcells J, et al. Emergent cholecystostomy is superior to open cholecystectomy in extremely ill patients with acalculous cholecystitis: a large multicenter outcome study. Am J Surg. 2013;206(6):935e940; discussion 40-1
Viste A, Jensen D, Angelsen J, Hoem D. Percutaneous cholecystostomy in acute cholecystitis; a retrospective analysis of a large series of 104 patients. BMC Surg. 2015;15:17.
Welschbillig-Meunier K, Pessaux P, Lebigot J, et al. Percutaneous cholecystostomy for high-risk patients with acute cholecystitis. Surg Endosc. 2005;19(9):1256e1259.
Hassler KR, Jones MW. Laparoscopic cholecystectomy [Updated 2019 Mar 22]. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2019. https://www.ncbi.nlm.nih.gov/books/NBK448145/.
Blythe J, Herrmann E, Faust D, Falk S, Edwards-Lehr T, Stockhausen F, Hanisch E, Buia A. Acute cholecystitis - a cohort study in a real-world clinical setting (REWO study, NCT02796443). Pragmat Obs Res. 2018;9:69–75.
Gulaya K, Desai SS, Sato K. Percutaneous cholecystostomy: evidence-based current clinical practice. Semin Intervent Radiol. 2016;33(4):291–6. https://doi.org/10.1055/s-0036-1592326.
Mayumi T, Okamoto K, Takada T, et al. Tokyo guidelines 2018: management bundles for acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2018;25(1):96–100.
Miura F, Takada T, Strasberg SM, et al. TG13 flowchart for the management of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2013;20:47–54.
Sawyer RG, Claridge JA, Nathens AB, Rotstein OD, Duane TM, Evans HL, et al. Trial of short-course antimicrobial therapy for intraabdominal infection. N Engl J Med. 2015;372(21):1996–2005.
Walker C, Young K, Moosavi A, Molacek N, Dove J, Hunsinger M, et al. Cancel that PICC line order; cholecystostomy tube and short course of antibiotics. Am J Surg. 2019;217(3):485–9.
Loftus TJ, Brakenridge SC, Dessaigne CG, Sarosi GA Jr, Zingarelli WJ, Moore FA, et al. Antibiotics may be safely discontinued within one week of percutaneous cholecystostomy. World J Surg. 2017;41(5):1239–45.
Gomi H, Solomkin JS, Schlossberg D, Okamoto K, Takada T, Strasberg SM, et al. Tokyo guidelines 2018: antimicrobial therapy for acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2018;25(1):3–16.
Colonna AL, Griffiths TM, Robison DC, Enniss TM, Young JB, McCrum ML, et al. Cholecystostomy: are we using it correctly? Am J Surg. 2019;217(6):1010–5.
Yeo CS, Tay VW, Low JK, Woon WW, Punamiya SJ, Shelat VG. Outcomes of percutaneous cholecystostomy and predictors of eventual cholecystectomy. J Hepatobiliary Pancreat Sci. 2016;23(1):65–73.
Chou CK, Lee KC, Chan CC, Perng CL, Chen CK, Fang WL, et al. Early percutaneous cholecystostomy in severe acute cholecystitis reduces the complication rate and duration of hospital stay. Medicine (Baltimore). 2015;94(27):e1096.
Gutt CN, Encke J, Köninger J, Harnoss J-C, Weigand K, KipfmĂ¼ller K, et al. Acute cholecystitis. Ann Surg. 2013;258(3):385–93.
Mizrahi I, Mazeh H, Yuval JB, Almogy G, Bala M, Simanovski N, et al. Perioperative outcomes of delayed laparoscopic cholecystectomy for acute calculous cholecystitis with and without percutaneous cholecystostomy. Surgery. 2015;158(3):728–35.
Macchini DDL, Oldani M, Leni D, Padalino P, Romano F, Gianotti L. Timing of percutaneous cholecystostomy tube removal: systematic review. Minerva Chir. 2016;71:6.
McKay A, Abulfaraj M, Lipschitz J. Short- and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients. Surg Endosc. 2012;26(5):1343–51.
Abbas SH, Ghazanfar MA, Gordon-Weeks AN, Reddy SR, Soonawalla Z, Silva MA. Acalculous cholecystitis: is an elective interval cholecystectomy necessary. Dig Surg. 2018;35(2):171–6.
Penas-Herrero I, de la Serna-Higuera C, Perez-Miranda M. Endoscopic ultrasound-guided gallbladder drainage for the management of acute cholecystitis (with video). J Hepatobiliary Pancreat Sci. 2015;22(1):35–43.
Jang JW, Lee SS, Song TJ, Hyun YS, Park DY, Seo DW, et al. Endoscopic ultrasound-guided transmural and percutaneous transhepatic gallbladder drainage are comparable for acute cholecystitis. Gastroenterology. 2012;142(4):805–11.
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Bacon, A., Corgan, T., Pender, T., Colonna, A. (2021). Perioperative Evaluation and Decision-Making, When to Operate and by Which Approach: Tube Cholecystostomy. In: Di Carlo, I. (eds) Difficult Acute Cholecystitis. Springer, Cham. https://doi.org/10.1007/978-3-030-62102-5_7
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