Percutaneous gallbladder drainage in acute cholecystitis patients

Purpose: to evaluate the procedural technique, clinical efficacy and complications of percutaneous gall bladder drainage (percutaneous cholecystostomy) for the treatment of acute cholecystitis in high-risk patients. material and methods: from june 2015 to january 2017, a total of 58 acute cholecystitis in high- risk patients (26 men, 32 women) who underwent percutaneous cholecystostomy were retrospectively evaluated. results: percutaneous cholecystostomy was successfully performed in 57 patients (98.3%) with acute cholecystitis. major complications (peritonitis and hemorrhage) occurred in 4 patients (6.9%). the average duration of catheter drainage was 26,4 days (range, 1-55 days). elective cholecystectomy was performed in 35 (60.3%) of 58 patients at 7 weeks. in-hospital mortality rate was 10.3% (6 of 58 patients) in 30 days. conclusions: percutaneous cholecystostomy is an effective and safe procedure for high-risk patients with acute cholecystitis. the procedure is minimally invasive, and the complication rate of percutaneous cholecystostomy is low.