RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127273332
T1 CHOLECYSTOSTOMY
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127273332
RD 2024/04/20
AB Cholecystostomy,  while  not  recognized  as  routine  treatment  for  cholelithiasis,  may  be  a  lifesaving  procedure.  Today  cholecystostomy  is  usually  placed  under  image  guidance  by  a  percutaneous  technique.  Surgical  cholecystostomy  may  be  needed  in  some  situations.  It  is  the  operation  of  choice  in  some  elderly  patients  with  acute  cholecystitis,  in  poor  surgical  risks  who  present  a  well-defined  mass,  in  seriously  ill  patients  in  whom  minimum  surgery  is  desirable,  and  when  technical  difficulties  make  cholecystectomy  hazardous.  If  there  is  obstruction  of  the  common  duct  with  long-standing  jaundice  and  a  tendency  toward  hemorrhage  that  cannot  be  controlled  by  vitamin  K  and  transfusions  or  percutaneous  transhepatic  biliary  tube  drainage,  preliminary  cholecystostomy  for  decompression  may  be  the  procedure  of  choice.