RT Journal
A1 Moore EE, Kelly GL, Driver T, Eiseman B
T1 REassessment of simple cholecystostomy
JF Archives of Surgery
JO Archives of Surgery
YR 1979
FD April 1
VO 114
IS 4
SP 515
OP 518
DO 10.1001/archsurg.1979.01370280169028
UL http://dx.doi.org/10.1001/archsurg.1979.01370280169028
AB • Cholecystostomy was performed on 22 patients with acute cholecystitis after partial (13) or complete (9) removal of gallbladder stones. One patient had complementary common-duct drainage. Early mortality occurred in two patients. Three patients with associated cholangitis but intraoperative reflux of cystic-duct bile were all treated by cholecystostomy alone and survived. For the poor-risk patient with cholecystitis, cholecystostomy is effective. When there is associated cholangitis and documented cystic-duct patency, cholecystostomy is also sufficient. When accompanying cholangitis is associated with cystic-duct occlusion, choledochotomy and T tube drainage should be added.(Arch Surg 114:515-518, 1979)