Is percutaneous cholecystostomy acceptable as a bridge treatment for acute cholecystitis in high risk patients who has a biliary problem?

Abstract

Introduction: This study aimed to investigate the safety and effectiveness on laparoscopic cholecystectomy (LC) following percutaneous cholecystostomy (PC), especially in patients with biliary tract disease (BD). Method: Of the 4182 LC cases for acute cholecystitis (AC) from January 2012 to December 2016, 70 patients with high risk for general anesthesia underwent PC followed by LC. 14 patients of these patients were diagnosed AC with BD and 56 patients were diagnosed without biliary tract disease (non-BD). We compared the peri-LC and peri-PC outcomes between two groups, retrospectively. Result: There were no significant differences about severe complications regarding PC and LC on both groups. In BD group, hospitalization was longer than non–BD group (20.9 vs 12.4 days, p <0.001) and the readmission rate were significantly higher (71.42% vs 25.00%, p=0.034). Conclusion: PC is a safe treatment of bridging for AC in high-risk patients. When AC accompanied by BD, PC should be followed by LC as soon as possible.