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Image-guided percutaneous cholecystostomy: challenging the norms

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Abstract

Image-guided percutaneous cholecystostomy (IGPC) is a widely recognized and regularly employed procedure in numerous institutions, serving as an indispensable cornerstone in the management of patients with acute cholecystitis. The most up-to-date literature has found that the transperitoneal route is at least as safe as the transhepatic route and that both the trocar and Seldinger techniques are equally safe and effective. The above novel insights may offer reassurance and alleviate concerns among operators performing IGPC by dispelling the fixation on previously established beliefs and thus providing flexibility, which lightens the load on the operator. Future studies could further investigate these findings and shed light on potential disparities in the safety and efficacy profiles associated with the subcostal and intercostal approaches, different drainage catheter sizes, and/or the impact of operator experience on complication rates.

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References

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Authors and Affiliations

  1. Research Unit of Radiology and Medical Imaging, 2nd Department of Radiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece

    Nikolaos-Achilleas Arkoudis

  2. Interventional Radiology Department, Bioclinic General Hospital of Athens, Marinou Geroulanou 15, 115 24, Athens, Greece

    Lazaros Reppas

  3. 2nd Department of Radiology, Interventional Radiology Unit, School of Medicine, National and Kapodistrian University of Athens, University General Hospital “Attikon”, Athens, Greece

    Lazaros Reppas & Stavros Spiliopoulos

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  1. Nikolaos-Achilleas Arkoudis
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  2. Lazaros Reppas
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  3. Stavros Spiliopoulos
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Correspondence to Nikolaos-Achilleas Arkoudis.

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Arkoudis, NA., Reppas, L. & Spiliopoulos, S. Image-guided percutaneous cholecystostomy: challenging the norms. Abdom Radiol 49, 939–941 (2024). https://doi.org/10.1007/s00261-023-04173-9

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  • DOI: https://doi.org/10.1007/s00261-023-04173-9

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