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CardioVascular and Interventional Radiology

, Volume 41, Issue 6, pp 928–934 | Cite as

Percutaneous Cholecystostomy: Long-Term Outcomes in 324 Patients

  • Jacob Bundy
  • Ravi N. SrinivasaEmail author
  • Joseph J. Gemmete
  • James J. Shields
  • Jeffrey Forris Beecham Chick
Clinical Investigation

Abstract

Purpose

To report technical success and clinical outcome of cholecystostomy tube placement along with timing—and method—of tube removal.

Materials and Methods

A retrospective review of cholecystostomy tubes placed from January 2010 to September 2017 was performed at a single academic center. This search yielded 1160 patients. Of these patients, 324 (27.9%) met inclusion criteria for cholecystostomy placement, 199 (61.4%) males and 125 (38.6%) females, with mean age of 67 years (range 6–101 years). The indication for cholecystostomy tube placement, technical success, surgical candidacy, medical comorbidities, clinical outcome, tube indwelling time, complications, and follow-up were recorded.

Results

Indications for cholecystostomy tube placement included: acute cholecystitis (n = 270; 83.3%), perforated cholecystitis (n = 22; 6.8%), emphysematous cholecystitis (n = 18; 5.6%), and other (n = 14; 4.3%). Technical success was 100%. Many patients had multiple medical comorbidities including (most commonly): debilitation (n = 211; 65.1%), cardiovascular disease (n = 194; 59.9%), multisystem disease (n = 181; 55.9%), and malignancy (n = 131; 40.4%). After tube placement, 96 (29.6%) patients underwent definitive cholecystectomy, 94 expired (29.0%), 36 (11.1%) had a patent cystic duct on follow-up cholangiogram and subsequent cholecystostomy removal, 14 (4.3%) underwent cholecystoscopy with stone removal, and 3 (0.9%) had liver transplantation. Forty-five (13.9%) patients had indwelling tubes at the end of the study period. Mean tube indwelling time was 89 days (range 0–586 days).

Conclusion

Technical success for cholecystostomy tube placement was 100% with all patients having clinical resolution of acute cholecystitis. Many patients were able to have tubes subsequently removed.

Keywords

Cholecystostomy Cholecystectomy Cholecystitis Complications 

Abbreviations

PCT

Percutaneous cholecystostomy tube

CCY

Cholecystectomy

Notes

Compliance with Ethical Standards

Conflict of interest

The authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements) or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  • Jacob Bundy
    • 1
  • Ravi N. Srinivasa
    • 1
    Email author
  • Joseph J. Gemmete
    • 1
  • James J. Shields
    • 1
  • Jeffrey Forris Beecham Chick
    • 1
  1. 1.Division of Vascular and Interventional Radiology, Department of RadiologyUniversity of Michigan Health SystemAnn ArborUSA

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