Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Dec 10;41(5):460-465.
doi: 10.1055/s-0044-1791724. eCollection 2024 Oct.

Percutaneous Cholecystostomy: Procedural Guidance and Future Directions for Clinical Management

Pouria Koushesh  1 , Talha Ayaz  2 , Thomas Tullius  3
Affiliations
Review

Percutaneous Cholecystostomy: Procedural Guidance and Future Directions for Clinical Management

Pouria Koushesh et al. Semin Intervent Radiol. .

Abstract

Percutaneous cholecystostomy (PC) is a recognized treatment option for the management of acute cholecystitis and is an integral component of the treatment algorithm in the 2018 Tokyo Guidelines. The utilization of PC has significantly increased over the past 30 years, particularly in the setting of critically ill patients and those with extensive comorbidities who are poor surgical candidates. The indications, complications, patient selection considerations, and technical complexities of the procedure will be discussed. Postprocedural drain management and the potential for shortened indwelling time are reviewed.

Keywords: acute cholecystitis; gallstones; interventional radiology; percutaneous cholecystostomy.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None declared.

References

    1. Stone C B.Gallstones. AGA GI Patient Center. Published September 21, 2021. Accessed September 24, 2024 at:https://patient.gastro.org/gallstones/
    1. Mencarini L, Vestito A, Zagari R M, Montagnani M. The diagnosis and treatment of acute cholecystitis: a comprehensive narrative review for a practical approach. J Clin Med. 2024;13(09):2695. - PMC - PubMed
    1. Wadhwa V, Trivedi P S, Makary M S et al.Utilization and outcomes of cholecystostomy and cholecystectomy in patients admitted with acute cholecystitis: a nationwide analysis. AJR Am J Roentgenol. 2021;216(06):1558–1565. - PubMed
    1. Duszak R, Jr, Behrman S W. National trends in percutaneous cholecystostomy between 1994 and 2009: perspectives from Medicare provider claims. J Am Coll Radiol. 2012;9(07):474–479. - PubMed
    1. Yokoe M, Hata J, Takada T et al.Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos) J Hepatobiliary Pancreat Sci. 2018;25(01):41–54. - PubMed