Percutaneous cholecystostomy - An option in selected patients with acute cholecystitis.

摘要: While urgent percutaneous cholecystostomy (PC) was introduced as an alternative to acute surgical treatment for cholecystitis (AC), the current place of PC in algorithm AC is challenged. We evaluate demographics and outcomes routine clinical practice a population-based cohort.Retrospective evaluation consecutive patients treated with between 2000 2015. The severity graded according 2013 Tokyo Guidelines.One hundred forty-nine were included (82; 55% males) (median age 72.5 years; range, 21-92). Guidelines criteria (TG13) grade distribution 4%, 61.7%, 34.2% grades I, II, III, respectively. No difference observed males females regard age, American Society Anesthesiologists (ASA) score, comorbidities, or previous history cholecystitis. successfully performed all but 1 patient, complications few minor. Less than half (48.3%) subsequently received definitive treatment, mostly (83.3%) laparoscopy. minor encountered 58 (80.6%) patients. Operated significantly younger (P = <.001) had lower ASA scores .005), less comorbidities < .001), more seldomly severe 3 .001) non-operated patients.PC useful selected AC. However, since only eventually better decision-making based on proper may enable improved allocation individual patient tailored disease severity, patient's comorbidity burden, also options available at institution prevent overutilization non-definitive approach. Comprehension this responsibility should be acknowledged by hospitals emergency service, although remains challenge responsible surgeon call.