cholecystostomy

Cholecystostomy:

A cholecystostomy is a procedure where a stoma is created in the gallbladder, which can facilitate placement of a tube for drainage.

Bile peritonitis developed in the patient in whom access was lost and a surgical cholecystostomy was done, followed by a further percutaneous removal of residual stones.

The technique evolved from the introduction of percutaneous cholecystostomy as an alternative to surgical cholecystostomy and utilised well established technicues for dilating percutaneous tracts and stone extraction.

In addition to general surgical operations, such as appendectomy, cholecystostomy, bowel resection for intestinal obstruction, and mastectomy, he performed and described innovative procedures in neurosurgery, orthopedics, gynecology, urology, plastic surgery, thoracic surgery, and vascular surgery.

In patients with a stone impacted in Hartmann's pouch or with an acute complication caused by gall stones, the gall bladder was electively decompressed by percutaneous cholecystostomy, carried out under local anaesthesia, for seven to 10 days before the stones were removed.

In cases of severe inflammation, shock, or if the patient has higher risk for general anesthesia (required for cholecystectomy), the managing physician may elect to have an interventional radiologist insert a percutaneous drainage catheter into the gallbladder ('percutaneous cholecystostomy tube') and treat the patient with antibiotics until the acute inflammation resolves.