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Cholécystostomie Percutanée Dans Les Cholécystites Aiguëschez Les Patients à Haut Risque by P Pessaux; J Lebigot; J.J Tuech; N Regenet; C Aube; C Ridereau; J.P Arnaud is a Medicine article available to read on EtoBox.

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## Aim of the study: The aim of this retrospective study was to report the results of percutaneous cholecystostomy in a selected group of high-risk patients with contraindications of general anesthesia. ## Patients and methods: From october 1995 to december 1999, a percutaneous cholecystostomy was performed in 29 patients with acute cholecystitis. there were 20 women and nine men with a mean age of 80.6 years (range: 59 to 95 years). all the patients were asa iii (n = 23) or asa iv (n = 6). ultrasound-guided percutaneous cholecystostomy was performed in 24 cases and computed tomography-guided cholecystostomy in five cases. ## Results: Percutaneous cholecystostomy was easily performed in 28 cases; there was one failed procedure. the drainage was not efficient in three patients who were operated on with one postoperative death of a patient who had a necrotic cholecystitis. there was no mortality in relation with cholecystostomy. one patient died at day 15 from myocardia infarction. the morbidity rate was 3.4% (one case). postoperative length of hospital stay was 13 days (range: 7-30 days). the duration of the entire procedure ranged from 9 to 60 days (mean: 20 days). the mean follow-

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Author

P Pessaux; J Lebigot; J.J Tuech; N Regenet; C Aube; C Ridereau; J.P Arnaud

Publisher

Elsevier Science; Elsevier ; Elsevier BV (ISSN 0003-3944)

Published

2000

Language

FR

Field

Medicine (Health Sciences)