PERCUTANEOUS GALLBLADDER DRAINAGE IN PATIENTS WITH HIGH SURGICAL RISK ACUTE CHOLECYSTITIS: A SINGLE-CENTER EXPERIENCE


Dilek İ., Büyükceran E. U., Atasoy G., Arık E., Şevik H. O., Nayman A.

Kocatepe Tıp Dergisi, cilt.27, sa.2, ss.157-162, 2026 (TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 27 Sayı: 2
  • Basım Tarihi: 2026
  • Doi Numarası: 10.18229/kocatepetip.1623923
  • Dergi Adı: Kocatepe Tıp Dergisi
  • Derginin Tarandığı İndeksler: TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.157-162
  • Marmara Üniversitesi Adresli: Evet

Özet

OBJECTIVE: We investigated the effectiveness of percutaneous gallbladder drainage (PGD) in a group of patients with acute cholecystitis (AC) who were at high surgical risk.MATERIAL AND METHODS: The electronic records of a total of 51 patients who underwent percutaneous gallbladder drainage under imaging guidance between January 2021 and September 2023 were retrospectively reviewed.RESULTS: The PGD procedure was successfully performed in all 51 patients. After the procedure, symptoms of AC regressed in 43 patients (84.3%). There were no reports of mortality or major complications associated with the PGD procedure. The average duration of catheterization post-PGD was 23.6 days (range 3-47 days), and the average hospital stay was 22 days. Seven patients (13.7%), mostly monitored due to pre-procedural sepsis, were lost within 30 days without catheter removal. Cholecystectomy was performed on 27 patients (52.9%) in the 6-8 weeks following PGD, after minimizing surgical risks.CONCLUSIONS: Under imaging guidance, PGD is a safe procedure with low complication rates in patients at high surgical risk and is an effective method for resolving the inflammatory process associated with AC.