Percutaneous Cholecystostomy Versus Gallbladder Aspiration for Acute Cholecystitis:A Prospective Randomized Controlled Trial

Authors:
  • NFNaotaka Fujita
    Naotaka Fujita
  • YNYutaka Noda
    Yutaka Noda
  • GKGo Kobayashi
    Go Kobayashi
  • KKKatsumi Kimura
    Katsumi Kimura
  • TSToshiki Sugawara
    Toshiki Sugawara
  • JHJun Horaguchi
    Jun Horaguchi
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Abstract
OBJECTIVE. This study was performed to determine and compare the effectiveness and incidence of complications of percutaneous cholecystostomy and gallbladder aspiration in cases of severe acute cholecystitis.SUBJECTS AND METHODS. Fifty-eight patients with severe acute cholecystitis who did not improve after antibiotic treatment were included in this study. The patients were randomized into either the percutaneous cholecystostomy group (n = 30) or the gallbladder aspiration group (n = 28). Under sonographic guidance, percutaneous cholecystostomy was performed in the usual manner using a 6.5- or 7-French catheter. Gallbladder aspiration was carried out with a 21-gauge needle under sonographic guidance. The technical success, clinical response, and complications in each group were evaluated.RESULTS. Percutaneous cholecystostomy and gallbladder aspiration were technically successful in 30 patients (100%) and 23 patients (82%), respectively (not statistically significant). In five patients (18%) of the gallbla...

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