Abstract
Although routine cholecystectomy in the fit adult is safe and carries a low mortality, emergency surgery for acute cholecystitis in the elderly carries a reported mortality of 9.8%–12.5% from postoperative cardiorespiratory complications. Furthermore, these patients are at a greater risk for the development of empyema which doubles the mortality figures. In addition to being immunocompromised, elderly patients have intercurrent cardiorespiratory disease which enhances the anaesthetic risk and contributes significantly to the postoperative mortality. Cholecystectomy is also a high-risk procedure in cirrhotic patients.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Aranha GV, Sontag SJ, Greenlee HB (1982) Cholecystectomy in cirrhotic patients: a formidable operation. Am J Surg 143: 55–60
Burhenne HJ, Stoller JL (1985) Mini cholecystostomy and radiologic stone extraction in high risk cholelithiasis patients. Am J Surg 149:632–635
Cuschieri A, Abd El Ghany AB, Holley MP (1989) Successful chemical cholecystectomy: a laparoscopic guided technique. Gut 30:1786–1794
Eggermont AM, Lameris JS, Jeekel J (1985) Ultrasound-guided percutaneous transhepatic cholecystostomy for acute acalculous cholecystitis. Arch Surg 120: 1354–1356
Frimberger E (1989) Operative laparoscopy: cholecystostomy. Endoscopy 21:299–384
Getrajdman GI, O’Toole K, Laffey KJ, Martin EC (1986) Cystic duct occlusion and transcatheter sclerosis of the gallbladder in the rabbit. Invest Radiol 21:400–403
Glen F (1981) Surgical management of acute cholecystitis in patients 65 years of age and older. Ann Surg 193:56–59
Pearse DM, Hawkins IF, Shaver R, Vogel S (1984) Percutaneous cholecystostomy in acute cholecystitis and common duct obstruction. Radiology 152:365–367
Remley KB, Cubberly DA, Watanabe AS, Nelson JA, Colby TV (1986) Systemic absorption of gallbladder sclerosing agents in the rabbit. A preliminary study. Invest Radiol 21: 396–399
Salomonwitz E, Frick MP, Simmons RL (1984) Obliteration of the gallbladder without formal cholecystectomy. Arch Surg 119:725–729
Sullivan DM, Hood TR, Griffin WO (1982) Biliary tract surgery in the elderly. Am J Surg 143:218–220
Warren LP, Kadir S, Dunnick NR (1988) Percutaneous cholecystostomy: anatomic considerations. Radiology 168:615–616
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Cuschieri, A. (1992). Cholecystostomy Drainage for Severe Acute Cholecystitis. In: Cuschieri, A., Buess, G., Périssat, J. (eds) Operative Manual of Endoscopic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-22257-7_19
Download citation
DOI: https://doi.org/10.1007/978-3-662-22257-7_19
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-22259-1
Online ISBN: 978-3-662-22257-7
eBook Packages: Springer Book Archive