Scholarlink

Purpose of Review <p>Percutaneous cholecystostomy (PCT) is a technique used to treat acute cholecystitis in patients who are not surgical candidates for cholecystectomy at the time of presentation. Usage has increased over time and the procedure is nearly always technically successful. We reviewed recent literature to assess for new developments in outcomes and indications for PCT placement.</p> Recent Findings <p>Newer data has questioned whether outcomes for patients who get a PCT are better than those managed medically or with cholecystectomy. Multiple studies have shown no difference in mortality between different treatment strategies, and patients who get PCT placement tend to incur higher healthcare utilization.</p> Summary <p>While PCT is a safe alternative for source control in critically ill patients with cholecystitis, interval cholecystectomy should be performed when possible. Further prospective data is needed to assess long term outcomes and quality of life for patients with PCT.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Cholecystostomy Indications and Outcomes: Which Patients Will Benefit?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年1月8日

查看全文
  • Rachel Koch,
  • Alexander Colonna

摘要

Purpose of Review

Percutaneous cholecystostomy (PCT) is a technique used to treat acute cholecystitis in patients who are not surgical candidates for cholecystectomy at the time of presentation. Usage has increased over time and the procedure is nearly always technically successful. We reviewed recent literature to assess for new developments in outcomes and indications for PCT placement.

Recent Findings

Newer data has questioned whether outcomes for patients who get a PCT are better than those managed medically or with cholecystectomy. Multiple studies have shown no difference in mortality between different treatment strategies, and patients who get PCT placement tend to incur higher healthcare utilization.

Summary

While PCT is a safe alternative for source control in critically ill patients with cholecystitis, interval cholecystectomy should be performed when possible. Further prospective data is needed to assess long term outcomes and quality of life for patients with PCT.