Adam Walmsley1*, Avinash Deshwal1, Shawn Poh1, Xilin Zhang1, Gurjeet Dulku2, Himanshu Pendse2 and Mohamed Ballal1
1Acute Surgical Unit, Fiona Stanley Hospital, Murdoch, Australia
2Department of Radiology, Fiona Stanley Hospital, Murdoch, Australia
*Corresponding Author: Adam Walmsley, Acute Surgical Unit, Fiona Stanley Hospital, Murdoch, Australia.
Received: June 03, 2025; Published: July 21, 2025
Introduction: Percutaneous cholecystostomy (PC) is an important alternative to surgical intervention in managing acute cholecystitis (AC) for patients who are not surgical candidates. However, there is a lack of standardised follow-up protocols, resulting in variability in patient management. This study aims to assess outcomes following PC and adherence to a local follow-up algorithm to identify opportunities for standardisation and improvement.
Methods: A retrospective single-centre chart review of PC procedures was conducted between 2016 and 2023. Key data points included time to outpatient follow-up, timing and utilisation of Cholecystogram, biliary interventions such as endoscopic retrograde cholangiopancreatography (ERCP), drain management strategies, and patient outcomes, including recurrence and mortality. Statistical analysis was performed using IBM SPSS v.29.
Results: A total of 113 patients met the inclusion criteria. PC was a bridge to surgery in 23.8% (27/113), whereas it served as definitive management in 53.1% (60/113). Drain dislodgement occurred in 37.1% (36/97), and in patients with planned drain removal, the mean indwelling time was 74 days. Pre-outpatient Cholecystogram was performed in 67.3% (37/76). 10.6% (12/113) required repeat PC. ERCP was performed in 21.2% (24/113), and the all-cause 90-day mortality rate was 10.6% (12/113).
Conclusion: PC remains a valuable intervention for high-risk patients with AC; however, follow-up management varies significantly. The findings of this study underscore the need for standardised follow-up protocols to optimise patient care and outcomes.
Keywords: Audit; Cholecystitis; Follow-Up; Percutaneous Cholecystostomy; Outcome
Citation: Adam Walmsley., et al. “Percutaneous Cholecystostomy Outcomes and Follow-up".Acta Scientific Orthopaedics 8.8 (2025): 18-23.
Copyright: © 2025 Adam Walmsley., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Open Access by
Acta Scientific is licensed under a Creative Commons Attribution 4.0 International License
Based on a work at https://actascientific.com
ff
