Akut Taşlı Kolesistiti Olan Yaşlı Hastalarda Perkütan Kolesistostomi
Abstract
Objectives: To investigate the efficacy, safety, recurrence and reintervention rates of percutaneous cholecystostomy (PC) in elderly patients with acute calculous cholecystitis (ACC).
Materials and Methods: The data of the patients over 65 years of age who were diagnosed with ACC and between August 2013 and April 2017 were obtained by means of the hospital registry system.
Results: A total of 53 ACC patients were treated with PC. 49 (92.4%) of the patients were clinically relieved within 48-72 hours. The 30-day mortality rate associated with PC was 7.5%. 2 (3.8%) patients had postoperative pneumonia and 4 (7.5%) patients had catheter dislocation. Seventeen (32%) patients underwent elective cholecystectomy and 8 (15%) patients underwent emergency cholecystectomy.
Conclusion: PC is an effective treatment in high risk elderly patients. It can act as a “bridge treatment” from an emergency to elective surgery.
Keywords
Acute Calculous Cholecystitis, Ederly Patients, High-Risk Patients, Percutaneous Cholecystostomy
Ethical Statement
Etik Kurul Onayı: İzmir Katip Çelebi Üniversitesi Etik Kurulu’ndan onay alınmıştır (27/03/2019-156).
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