| Summary: | Objectives: To evaluate the efficacy and safety of percutaneous cholecystostomy (PC) in management of acute cholecystitis in elderly patients. Methods: Retrospective 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. Results: Seventeen 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. Conclusion: Percutaneous cholecystostomy is a safe, effective and technically achievable procedure for treating elderly high-risk patients who present with acute cholecystitis. Keywords: Cholecystitis, Cholecystostomy, Elderly
|
|---|
