Percutaneous cholecystostomy is a medical procedure that involves the insertion of a small tube or catheter through the skin and into the gallbladder to drain bile in cases of acute cholecystitis, which is an inflammation of the gallbladder. The procedure is typically performed when surgery to remove the gallbladder, known as a cholecystectomy, is not feasible or is considered too risky for the patient.
During the procedure, a healthcare provider inserts a needle through the skin and into the gallbladder under ultrasound or X-ray guidance. A small wire is then inserted through the needle and a catheter is threaded over the wire and into the gallbladder. The catheter allows bile to drain out of the gallbladder and into a collection bag or container, which can be emptied as needed.
Percutaneous cholecystostomy is typically performed in a hospital or outpatient setting and can be done using local anesthesia or conscious sedation. The procedure is considered relatively safe and effective in relieving symptoms associated with acute cholecystitis, such as abdominal pain and fever.
As with any medical procedure, there are potential risks and complications associated with percutaneous cholecystostomy, such as bleeding, infection, bile leakage, or damage to nearby organs. The decision to undergo percutaneous cholecystostomy should be made in consultation with a healthcare provider, taking into consideration the severity of the cholecystitis, the patient’s overall health, and their individual treatment goals.