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Heimildir
Barst til blaðsins 4. desember 2018, samþykkt til birtingar 5. mars 2019.
Katrín Hjaltadóttir
Kristín Huld Haraldsdóttir
Pétur Hörður Hannesson
Páll Helgi Möller
Introduction: Acute cholecystitis is one of the most common rea-
sons for acute admission in abdominal surgery. The recom mended
therapy is cholecystectomy but occasionally that is not possible
and a conservative treatment with intravenous antibiotics is used.
Should the patient not respond to conservative treatment a percuta-
neous catheter can be placed in the gallbladder (cholecystostomy).
The aim of the study was to look at the frequency of which chol-
ecystostomies were used and the complication rates at Landspitali,
The National University Hospital of Iceland.
Materials and methods: A retrospective study where patient
charts of those with ICD – diagnosis numbers K80 – 85 at Land-
spitali University Hospital looked at and patients who received
cholecystostomies were identified in the period from 2010 – 2016.
Clinical information was registered in Excel. Descriptive statistics
were used.
Results: A total of 4423 patients were diagnosed with biliary
disease during the study period. 1255 (28%) of them had acute
cholecystitis with mean age of 58 years (range: 18 – 99). A cholecys-
tostomy was put in 88 patients (14%), mean age 71 years (range: 28
– 92). A transhepatic route was used for 62 (70%) and the drain was
in place for an average of 12 days (range: 0 – 87). A secondary chol-
angiography was performed in 71 cases. Seventeen patients were
discharged home with the cholecystostomy in place. Half of the
patients underwent a laparoscopic cholecystectomy 101 days from
drain insertion (range: 30 – 258). A total of 28 complications were
noted in 27 patients (31%) and the most common complication was
dislodgement of the catheter (n=20). Five patients (6%) died within
thirty days of the intervention, three from septic shock and two from
reasons unrelated to the treatment.
Conclusions: Cholecystostomy is not a common choice of treat-
ment for acute cholecystitis at Landspitali, The National University
Hospital of Iceland. Few serious complications arise from the treat-
ment and no patients died in relation to the intervention.
Percutaneous cholecystostomy as treatment for acute
cholecystitis at Landspitali University Hospital 2010 – 2016
ENGLISH SUMMARY
1Department of General Surgery, 2Department of Radiology, Landspitali - The National University Hospital of Iceland, 3The Faculty of Medicine, University of Iceland.
Key words: Acute cholecystitis, cholecystostomy, gallbladder drainage.
Correspondence: Katrín Hjaltadóttir, katrinhjalta@gmail.com