Treatment of Acute Cholecystitis in Non-Critically Ill Patients at High Surgical Risk

Abstract

OBJECTIVE. This study was performed to compare the clinical outcome after gallbladder aspiration with that after percutaneous cholecystostomy in non—critically ill patients with acute cholecystitis who were at high risk from surgery.MATERIALS AND METHODS. Medical records of 53 consecutive non—critically ill, high-surgical-risk patients admitted with acute cholecystitis between July 1995 and July 1999 were reviewed. Thirty-one had gallbladder aspiration and 22 had percutaneous cholecystostomy. The primary outcome measure of clinical response within 72 hr and the secondary outcome measures of overall positive response rate, complication rate, time to resolution, and rate of recurrence of acute cholecystitis were compared between the two groups.RESULTS. Gallbladder aspiration and percutaneous cholecystostomy were technically successful in 30 (97%) and 21 (97%) patients, respectively; of these, 23 (77%) and 19 (90%) patients responded clinically within 72 hr (p > 0.2). Complications occurred in three patients...