TY  - CHAP
M1  - Book, Section
TI  - Cholecystostomy
A1  - Ellison, E. Christopher
A1  - Zollinger, Jr., Robert M.
A1  - Pawlik, Timothy M.
A1  - Vaccaro, Patrick S.
A1  - Bitans, Marita
A1  - Baker, Anthony S.
PY  - 2022
T2  - Zollinger’s Atlas of Surgical Operations, 11e
AB  - Cholecystostomy,  while  not  recognized  as  routine  treatment  for  cholelithiasis,  may  be  a  lifesaving  procedure.  Cholecystostomy  is  indicated  for  management  of  acute  calculous  or  acalculous  cholecystitis  in  patients  with  medical  comorbidities  that  preclude  safe  cholecystectomy  or,  given  the  timing  of  patient  presentation,  when  severe  inflammation  is  anticipated  to  make  immediate  cholecystectomy  unsafe.  Today,  cholecystostomy  is  usually  performed  under  image  guidance  via  a  percutaneous  technique.  Nevertheless,  surgical  cholecystostomy  may  be  needed  in  some  situations.  The  two  primary  indications  for  surgical  cholecystostomy  are  lack  of  equipment  or  expertise  to  perform  percutaneous  cholecystostomy  and  intraoperative  findings  at  the  time  of  planned  cholecystectomy  that  make  further  attempts  at  gallbladder  removal  hazardous.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1187822268
ER  -