WTP3.3 Percutaneous cholecystostomy: an intervention requiring re-admission and re-intervention?

Abstract Aims A national database study reported a 723% increase in cholecystostomy procedures England between 2000 and 2019 (Lunevicius, 2022). We aimed to evaluate short long-term clinical outcomes following percutaneous for acute cholecystitis (AC) at our centre. Methods single-centre, retrospective cohort was conducted utilising data from tertiary centre database, 2012–2020. Tokyo guidelines were used grade AC severity. Outcomes evaluated. Results Seventy-six patients included. The median age 76 (IQR 67.5-83.3). M:F ratio 1.1:1. Twenty-nine (38.2%) had Grade 3 AC. remaining 47 (61.8%) 2 Forty-seven experienced least one post-cholecystostomy complication. During index admission, seven (9.2%) required admission ITU, died, six (7.9%) emergency cholecystectomy. length of stay 12 days 9.33-17.0). Of the 69 who discharged, 23 (33.3%) readmission due recurrence; these (17.4%) readmitted within 30 days. Eleven (15.9%) recurrence whilst gallbladder catheter remained in-situ, further 15 (21.7%) after removal. Twenty (29.0%) additional drainage, which 11 received repeat cholecystostomy. Twelve underwent elective cholecystectomy, with interval PC cholecystectomy 62.5 20.3-118). Conclusions is associated high post-procedure mortality morbidity. Clinicians should be discerning patient selection criteria PC.