Percutaneous cholecystolithotomy: preliminary experience and technical considerations.

Abstract:

:Surgical cholecystectomy is associated with a high morbidity and mortality in elderly patients with acute calculous cholecystitis and underlying cardiac or pulmonary disease. Currently there are few alternatives for treating these patients. The authors have used percutaneous cholecystolithotomy in 11 such high-risk patients for definitive treatment of gallbladder calculi. In all 11 patients all stones were successfully removed from the gallbladder and cystic duct. The entire procedure--from initial tube placement to final tube removal--lasted 17-40 days (mean, 21 days). There were two complications: one minor--local wound infection--and one major--bile peritonitis with eventual death. Percutaneous cholecystolithotomy is an effective alternative therapy for acute calculous cholecystitis in elderly, debilitated patients.

journal_name

Radiology

journal_title

Radiology

authors

Picus D,Marx MV,Hicks ME,Lang EV,Edmundowicz SA

doi

10.1148/radiology.173.2.2798880

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

487-91

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

173

pub_type

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