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Войти в исследования The American journal of hospice & palliative care · 2012
Percutaneous cholecystostomy in high-risk elderly patients with acute cholecystitis: a lifesaving option.
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Kapan Murat, Onder Akin, Tekbas Guven, Gul Mesut, Aliosmanoglu Ibrahim, Arikanoglu Zulfu, Aldemir Mustafa
Аннотация
PURPOSE: To analyze the results of percutaneous cholecystostomy in in high-risk elderly patients with acute cholecystitis.
MATERIALS AND METHODS: Between June 2010 and May 2011, 11 patients aged over 60 who had at least 1 systemic disease and underwent percutaneous cholecystostomy were reviewed retrospectively.
RESULTS: The procedure was technically successful in 10 (90.9%) patients. Clinical improvement was achieved in 81.8% of patients within 72 hours. Two patients received emergency surgery while elective cholecystostomy was performed in 5 patients. Percutaneous cholecystostomy was performed singly in 4 (36.4%) patients. Early complication rate was 18.2%. Two (18.2%) patients died.
CONCLUSION: Percutaneous cholecystostomy can be performed with low mortality and morbidity. Cholecystectomy should be performed in all patients with suitable general conditions due to the high recurrence rates of percutaneous cholecystostomy.
MATERIALS AND METHODS: Between June 2010 and May 2011, 11 patients aged over 60 who had at least 1 systemic disease and underwent percutaneous cholecystostomy were reviewed retrospectively.
RESULTS: The procedure was technically successful in 10 (90.9%) patients. Clinical improvement was achieved in 81.8% of patients within 72 hours. Two patients received emergency surgery while elective cholecystostomy was performed in 5 patients. Percutaneous cholecystostomy was performed singly in 4 (36.4%) patients. Early complication rate was 18.2%. Two (18.2%) patients died.
CONCLUSION: Percutaneous cholecystostomy can be performed with low mortality and morbidity. Cholecystectomy should be performed in all patients with suitable general conditions due to the high recurrence rates of percutaneous cholecystostomy.