RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Jr., Robert M. A1 Pawlik, Timothy M. A1 Vaccaro, Patrick S. A1 Bitans, Marita A1 Baker, Anthony S. SR Print(0) ID 1187822268 T1 Cholecystostomy T2 Zollinger’s Atlas of Surgical Operations, 11e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781260440850 LK accesssurgery.mhmedical.com/content.aspx?aid=1187822268 RD 2024/03/28 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.