Acute calculous cholecystitis is a common disease in cirrhotic patients. Laparoscopic cholecystectomy can resolve this problem but is performed based on the premise that the local inflammation must been controlled. An Initial ultrasound guided percutaneous transhepatic cholecystostomy may reduce the local inflammation and provide advantages in subsequent surgery. In this paper, we detailed our ...

Fistulae originating in the biliary tree are now rare',2,3,4,5. This has only occured since cholecystectomy, with or without exploration of the common bile duct, came to replace non-intervention or simple cholecystostomy. Even rarer are spontaneous external biliary fistulae 1,2. These arise in the biliary tract and, by devious routes, emerge at various sites on the body surface. Before they rup...

An 80-year-old woman presented with acute cholecystitis. On admission she was pyrexic and tachycardic with raised serum inflammatory markers. Computed tomography (CT) confirmed the diagnosis. She had significant morbidity from multiple sclerosis. She had left paresis and was wheelchair-bound. In view of her poor baseline function, the infection was managed with a percutaneous cholecystostomy dr...

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 guideline...

Abstract Aim Percutaneous Cholecystostomy is a well-recognised adjunct to antibiotic therapy in management of acute calculous cholecystitis – often as temporising measure definitive surgery. Multiple guidelines exist advising on patient selection and timing insertion, however little evidence exists managing these following interval cholecystectomy, investigations prior removal. Method A closed-...

Summary. Objective. To develop an algorithm for choosing the method of biliary decompression and to determine optimal biliodigestive anastomosis in pancreaticoduodenal resection (PDR).
 Materials methods. Pancreaticoduodenal was performed 302 patients with obstructive diseases zone. Biliary 62 (20,5 %) patients, following methods were used: percutaneous perhepatic cholangiodrainage, endosc...

Abstract Introduction Although percutaneous cholecystostomy (PC) is generally accepted as a bridge to definitive therapy for acute cholecystitis (AC), which remains cholecystectomy, some patients did not undergo cholecystectomy mostly due contraindications surgery. Here, we aimed audit our clinical practice from single institute. Methods 153 presented with AC and initially managed PC were inclu...