Cholecystostomy Indications and Outcomes: Which Patients Will Benefit?

Abstract

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.