Abstract
ObjectivesTo evaluate the efficacy and safety of percutaneous cholecystostomy (PC) in management of acute cholecystitis in elderly patients. MethodsRetrospective study of elderly patients (age ≥ 60 years) undergoing Ultrasound-guided PC for acute cholecystitis, over a period of two years. Patients were reviewed for demographic features, co-morbidity, resolution of symptoms and outcome and complications. ResultsSeventeen patients (11 women, 6 men; mean age, 66 ± 7 years) underwent PC for acute cholecystitis. PC was technically successful in all patients and showed positive clinical response within 72 h in 15 patients (88.2%). Complications of PC tube placement occurred in 2 (11.8%) of 17 patients, including bile leakage around the skin in 1 patient ,tube dislodgment in another one and were treated effectively with drain replacement. ConclusionPercutaneous cholecystostomy is a safe, effective and technically achievable procedure for treating elderly high-risk patients who present with acute cholecystitis.
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